Dr SAM D RUSSO is a male medical professional, specializing in Physician Assistant. He graduated in 2014.
ASHRAF MEDICAL GROUP PLLC
572 ROUTE 6
MAHOPAC
NY
105414787
Tel: 8452049260
Npi | 1164823787 |
Pac Id | 9739480153 |
Professional Enrollment Id | I20171207002322 |
Last Name | RUSSO |
First Name | SAM |
Middle Name | D |
Suffix | |
Gender | M |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2014 |
Primary Specialty | PHYSICIAN ASSISTANT |
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Organization Legal Name | ASHRAF MEDICAL GROUP PLLC |
Group Practice Pac Id | 1850560830 |
Number Of Group Practice Members | 19 |
Line 1 Street Address | 572 ROUTE 6 |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | MAHOPAC |
State | NY |
Zip Code | 105414787 |
Phone Number | 8452049260 |
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Professional Accepts Medicare Assignment | Y |
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