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MRS. MARY ELIZABETH RUSSO RPA-C
NPI 1225299381
Physician Assistant in West Islip, NY

Active since June 21, 2008
540 UNION BLVD, WEST ISLIP, NY 11795(631) 669-2555(631) 669-3051 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mary Elizabeth Russo Rpa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY ELIZABETH RUSSO RPA-C (NPI 1225299381) is an individual physician assistant in West Islip, New York, licensed in New York (006322) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1225299381
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARY ELIZABETH RUSSOCredential: RPA-C
Location Address540 UNION BLVDWest Islip, NY 11795-3105
Mailing Address540 Union BlvdWest Islip, NY 11795-3105 · (631) 669-2555 · Fax (631) 669-3051
Phone(631) 669-2555
Fax(631) 669-3051
Sole ProprietorNo
Enumeration DateJune 21, 2008
Last NPPES UpdateFebruary 15, 2017
✔ NPI 1225299381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 006322
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
540 UNION BLVD, West Islip, NY 11795
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY ANNE HUBBARD NP-C
Nurse Practitioner (Adult Health)
540 UNION BLVD
WEST ISLIP, NY 11795
Suffolk County (631) 669-2555
CHING WEI RUSSELL CHEN
Internal Medicine (Clinical Cardiac Electrophysiology)
540 UNION BLVD
WEST ISLIP, NY 11795
Suffolk County (631) 669-2555
ANTHONY J GARAFALO MD
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Suffolk County (631) 669-2555
HITENDER JAIN M.D.
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Suffolk County (631) 669-2555
THOMAS J HARRISON FNP-C
Nurse Practitioner (Family)
540 UNION BLVD
WEST ISLIP, NY 11795
Suffolk County (631) 669-2555
LARRY ALTSCHUL MD
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Suffolk County (631) 669-2555
ANASTASIOS MANARIS MD
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Suffolk County (631) 669-2555
MAUREEN CORRY MD
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Suffolk County (631) 669-2555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Russo's NPI number?

The NPI number for Mary Russo is 1225299381. It was assigned to this individual provider in the NPPES registry on June 21, 2008.

Where is Mary Russo located?

Mary Russo practices at 540 Union Blvd, West Islip, NY 11795. The listed phone number is (631) 669-2555.

What is Mary Russo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mary Russo was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.