person
Mr. Thomas Anthony Russo, PA
Medical Physician Assistant in Coxsackie, New York
NPI 1902804412

Thomas Anthony Russo is a Medical Physician Assistant based in Coxsackie, NY and is specialized in Medical. Thomas Anthony Russo practices in Coxsackie, NY and has the professional credentials of PA. The NPI Number for Thomas Anthony Russo is 1902804412 and holds a License No. 004434-1 (New York).

The current practice location address for Thomas Anthony Russo is 9 Law St, Coxsackie, NY and can be reached out via phone at 518-731-2120 and via fax at 518-731-2070.

Location: 9 Law St, Coxsackie, NY, 12192
person
Provider Profile Details
NPI Number
1902804412
Provider Name
Thomas Anthony Russo
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
9 Law St, Coxsackie, NY, 12192
Phone Number
518-731-2120
Fax Number
518-731-2070
Provider Enumeration Date
07/08/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9 Law St
City
State
Zip
12192
Phone Number
518-731-2120
Fax Number
518-731-2070
person
Provider Business Mailing Address Details
Address
9 Law St
City
State
Zip
12192
Phone Number
518-731-2120
Fax Number
518-731-2070
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004434-1 (New York)
Definition
Definition to come...
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