Individual provider · Type 1 NPI

Antoinette Marie Russolello, PA-C

Physician Assistant · North Haven, CT

NPI number 1750008207 Active

Practice location

370 Bassett Rd
North Haven, CT 06473-4201

Call (845) 214-6736 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X029069 (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 1750008207

Antoinette Marie Russolello, PA-C's National Provider Identifier is 1750008207, issued on Oct 25, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in North Haven, CT. The record was last updated on Oct 25, 2022.