MATTHEW RUSSELL, PA
Physician Assistant
Active
Individual
NPI: 1366951394
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 021305 (NY) |
Frequently Asked Questions
NPI 1366951394 is the National Provider Identifier for MATTHEW RUSSELL, PA, a Physician Assistant provider located in New York, NY. This NPI was enumerated on September 21, 2017.
MATTHEW RUSSELL, PA practices at 3 E 101ST ST, New York, NY 10029.
Quick Facts
- NPI
- 1366951394
- Type
- Individual
- Enumerated
- Sep 21, 2017
- Last Updated
- Sep 21, 2017
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