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:
Health care specialties
| Specialty | Code | License # | 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 2 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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