Individual provider · Type 1 NPI

Lauren Russo

Physician Assistant · Deer Park, NY

NPI number 1679340830 Active

Practice location

505 Grand Blvd Ste 1
Deer Park, NY 11729-5300

Mailing address

17 Black Gum Tree Ln
Kings Park, NY 11754-1746

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone 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 1679340830

Lauren Russo's National Provider Identifier is 1679340830, issued on Dec 7, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Deer Park, NY. The record was last updated on Dec 7, 2023.