Antoinette M Russolello, PA-C
Physician Assistant in North Haven, Connecticut
1750008207- Practice location
- 370 Bassett RD, North Haven, CT 06473-4201
- Phone
- 845-214-6736
- Fax
- —
- Last updated
- October 25, 2022
Antoinette Marie Russolello is a Physician Assistant based in North Haven, CT. Antoinette Marie Russolello practices in North Haven, CT and has the professional credentials of PA-C. The NPI Number for Antoinette Marie Russolello is 1750008207 and holds a License No. 029069 (NY). The current practice location address for Antoinette Marie Russolello is 370 Bassett RD, North Haven, CT 06473-4201 and can be reached out via phone at 845-214-6736.
Provider Profile Details
- NPI Number
- 1750008207
- Provider Name
- Antoinette Marie Russolello
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 370 Bassett RD, North Haven, CT 06473-4201
- Phone Number
- 845-214-6736
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 25, 2022
- Last Update Date
- October 25, 2022
- Certification Date
- October 25, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 370 Bassett RD
North Haven, CT 06473-4201 - City
- North Haven
- State
- Connecticut
- Zip
- 06473-4201
- Phone Number
- 845-214-6736
Provider Business Mailing Address Details
- Address
- 370 Bassett RD
North Haven, CT 06473-4201 - City
- North Haven
- State
- CT
- Zip
- 06473-4201
- Phone Number
- 845-214-6736
License Information
- License Number
- 029069
- 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 North Haven, CT
View all Physician Assistants in North Haven →- Alexander C Manning, PA-CPhysician Assistant · NPI 1821821133
- Alyssa Nickel, PA-CPhysician Assistant · NPI 1356064562
- Cara L Welsh, PA-CPhysician Assistant · NPI 1558236539
- Caroline ButtPhysician Assistant · NPI 1356259287
- Donald Kagan, PAPhysician Assistant · NPI 1164418257
- Elise Maro, PA-CPhysician Assistant · NPI 1598583718
Frequently Asked Questions
What is the NPI number of Antoinette M Russolello, PA-C?
The NPI number of Antoinette M Russolello, PA-C is 1750008207. It was assigned on October 25, 2022 and is currently active in the NPPES registry.
What is the specialty of Antoinette M Russolello, PA-C?
Antoinette M Russolello, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 029069.
Where does Antoinette M Russolello, PA-C practice?
The practice location is 370 Bassett RD, North Haven, CT 06473-4201. The office can be reached at 845-214-6736 (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 1750008207 directly on the NPPES registry website.