SearchNew York363A00000X

Kristi Russo, PA-C

NPI 1619564838 · on the registry since 2020

Practice

Address
43 Linwood Ave
Staten Island, NY 10305
Phone
(347) 613-7046

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-22

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