Russolello, Antoinette Marie

Russolello, Antoinette Marie is an sole proprietor health care provider with primary practice located at 370 Bassett Rd , North Haven CT 06473-4201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Russolello, Antoinette Marie can be contacted via phone (845) 214-6736.

Contact Information

Primary practice address
370 Bassett Rd North Haven CT 06473-4201
Phone: (845) 214-6736
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 029069 New York

Profile Details

NPI number 1750008207
LBN Legal business name Russolello, Antoinette Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2022
Last updated Oct 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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