| Mr Russell John Ridulfo, PA | |
|
12 Maple Glen Ln, Nesconset, NY 11767-1712 | |
| (631) 942-0295 | |
| Not Available |
| Full Name | Mr Russell John Ridulfo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 12 Maple Glen Ln, Nesconset, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407697683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Russell John Ridulfo, PA 12 Maple Glen Ln, Nesconset, NY 11767-1712 Ph: (631) 942-0295 | Mr Russell John Ridulfo, PA 12 Maple Glen Ln, Nesconset, NY 11767-1712 Ph: (631) 942-0295 |
Paige Suzanne Karras, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 20 Raynier Pl, Nesconset, NY 11767 Phone: 631-624-0486 | |
Miss Cindy A Callahan, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 276 Smithtown Blvd, Suite 1, Nesconset, NY 11767 Phone: 631-981-9143 | |
Rhonda R Edwards-braithwaite, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 465 Smithtown Blvd, Nesconset, NY 11767 Phone: 631-676-6700 Fax: 631-676-6700 | |
Faiza R Shah, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7 Sara Ct, Nesconset, NY 11767 Phone: 631-357-0663 |