Mrs. Sarra Russo, PA
Physician Assistant in Stratford, Connecticut
1245583160- Practice location
- 2876 Main St, Stratford, CT 06614-4984
- Phone
- 203-219-3929
- Fax
- —
- Last updated
- July 30, 2021
Sarra Russo is a Physician Assistant based in Stratford, CT. Sarra Russo practices in Stratford, CT and has the professional credentials of PA. The NPI Number for Sarra Russo is 1245583160 and holds a License No. 016098 (NY). The current practice location address for Sarra Russo is 2876 Main St, Stratford, CT 06614-4984 and can be reached out via phone at 203-219-3929.
Provider Profile Details
- NPI Number
- 1245583160
- Provider Name
- Sarra Russo
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2876 Main St, Stratford, CT 06614-4984
- Phone Number
- 203-219-3929
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Miss Sarra Koumasidis, PA (Former Name)
- Provider Enumeration Date
- October 16, 2012
- Last Update Date
- July 30, 2021
- Certification Date
- July 30, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2876 Main St
Stratford, CT 06614-4984 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-4984
- Phone Number
- 203-219-3929
Provider Business Mailing Address Details
- Address
- 2601 Ocean Pkwy
Brooklyn, NY 11235-7745 - City
- Brooklyn
- State
- NY
- Zip
- 11235-7745
License Information
- License Number
- 016098
- License State
- NY
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Stratford, CT
View all Physician Assistants in Stratford →- Alexandra K Marques, PA-CPhysician Assistant · NPI 1407585060
- Brian V Mccambley, PA-CPhysician Assistant · NPI 1255366795
- Colleen E Driscoll, PA-CPhysician Assistant · NPI 1225452386
- David A CrosbyPhysician Assistant · NPI 1588139604
- David L Celini, PAPhysician Assistant · NPI 1932790557
- Hayley A Merrill, PA-CPhysician Assistant · NPI 1073396008
Frequently Asked Questions
What is the NPI number of Mrs. Sarra Russo, PA?
The NPI number of Mrs. Sarra Russo, PA is 1245583160. It was assigned on October 16, 2012 and is currently active in the NPPES registry.
What is the specialty of Mrs. Sarra Russo, PA?
Mrs. Sarra Russo, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 016098.
Where does Mrs. Sarra Russo, PA practice?
The practice location is 2876 Main St, Stratford, CT 06614-4984. The office can be reached at 203-219-3929 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245583160 directly on the NPPES registry website.