Individual provider · Type 1 NPI
Russell John Ridulfo, PA
Physician Assistant · Nesconset, NY
Practice location
12 Maple Glen Ln
Nesconset, NY 11767-1712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
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 1407697683
Russell John Ridulfo, PA's National Provider Identifier is 1407697683, issued on Jun 3, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Nesconset, NY. The record was last updated on Jun 3, 2024.