National Provider Identifier

Sarina Russo

Sarina Russo is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 690-9038.

NPI 1770185704Rochester, NYPhysician Assistant

Profile Overview

NPI
1770185704
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
November 13, 2020
Last Updated
October 25, 2021

Practice Location

  • 30 Maple Knoll Dr
  • Rochester, NY 14626-4273

Phone: (585) 690-9038

Specialties

  • Physician Assistant (363A00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1770185704
Entity Type
Individual
Last Name
Russo
First Name
Sarina
Mailing Street Address
30 Maple Knoll Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-4273
Mailing Country
US
Practice Street Address
30 Maple Knoll Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4273
Practice Country
US
Practice Phone
(585) 690-9038
Enumeration Date
November 13, 2020
Last Updated
October 25, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
October 25, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)