Individual
ANNA K RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-3272
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-3272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019223
NY
Other
Enumeration date
10/10/2012
Last updated
02/17/2023
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