Individual provider · Type 1 NPI

Alyse Cortney Russo, MPAS, PA-C

Physician Assistant · Teaneck, NJ

NPI number 1346516408 Active

Practice location

870 Palisade Ave, Suite 302
Teaneck, NJ 07666-3419

Mailing address

16 Rainbow Trl
Denville, NJ 07834-3208

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00279700 (NJ)

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 1346516408

Alyse Cortney Russo, MPAS, PA-C's National Provider Identifier is 1346516408, issued on Mar 22, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Teaneck, NJ. The record was last updated on Feb 9, 2015.