Individual provider · Type 1 NPI
Thomas Anthony Russo, PA
Medical Physician Assistant · Coxsackie, NY
NPI number
1902804412
Active
Practice location
9 Law St
Coxsackie, NY 12192
Fax (518) 731-2070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 004434-1 (NY) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1902804412
Thomas Anthony Russo, PA's National Provider Identifier is 1902804412, issued on Jul 8, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Coxsackie, NY. The record was last updated on Feb 24, 2023.