Individual provider · Type 1 NPI

Mary Elizabeth Russo, RPA-C

Physician Assistant · West Islip, NY

NPI number 1225299381 Active

Practice location

540 Union Blvd
West Islip, NY 11795-3105

Call (631) 669-2555 Map

Fax (631) 669-3051

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X006322 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1225299381

Mary Elizabeth Russo, RPA-C's National Provider Identifier is 1225299381, issued on Jun 21, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in West Islip, NY. The record was last updated on Feb 15, 2017.