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Taylor Marie Russo I, MSPAS,PA-C
Surgical Physician Assistant in New York, New York
NPI 1265206916

Taylor Marie Russo I is a Surgical Physician Assistant based in Staten Island, NY and is specialized in Surgical. Taylor Marie Russo I practices in New York, NY and has the professional credentials of MSPAS,PA-C. The NPI Number for Taylor Marie Russo I is 1265206916 and holds a License No. 031037-01 (New York).

The current practice location address for Taylor Marie Russo I is 65 Broadway Fl 21, New York, NY and can be reached out via phone at 212-818-0001. You can also correspond with Taylor Marie Russo I through the mailing address at 163 CUBA AVE, STATEN ISLAND, NY - 10306-4909 (mailing address contact number: 347-737-9488).

Location: 65 Broadway Fl 21, New York, NY, 10306-4909
person
Provider Profile Details
NPI Number
1265206916
Provider Name
Taylor Marie Russo I
Credential
MSPAS,PA-C
Provider Entity Type
Individual
Gender
Female
Address
65 Broadway Fl 21, New York, NY, 10306-4909
Phone Number
212-818-0001
Fax Number
Provider Enumeration Date
11/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
65 Broadway Fl 21
City
State
Zip
10006-2510
Phone Number
212-818-0001
Fax Number
person
Provider Business Mailing Address Details
Address
65 Broadway Fl 21
City
State
Zip
10006-2510
Phone Number
212-818-0001
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
031037-01 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
031037-01 (New York)
Definition
Definition to come...
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