Individual provider · Type 1 NPI

Megan Patricia Russell, P.A.

Medical Physician Assistant · Bronx, NY

NPI number 1194060400 Active

Practice location

111 E 210th St, Critical Care Medicine Office
Bronx, NY 10467-2401

Call (718) 920-4321 Map

Mailing address

3011 Zulette Ave
Bronx, NY 10461-5619

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X016260 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1194060400

Megan Patricia Russell, P.A.'s National Provider Identifier is 1194060400, issued on Nov 28, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Nov 28, 2012.