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Nicholas Russo, PA-C
NPI 1104696996 · on the registry since 2024 · sole proprietor
Practice
- Address
- 13 Birch Brook Rd
Bronxville, NY 10708 - Phone
- (914) 483-9206
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York