Provider Demographics
NPI:1841977857
Name:RUSSO, CHRISTY (PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:RUSSO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:55 FEDERAL ST STE 220
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-2592
Mailing Address - Country:US
Mailing Address - Phone:413-225-2792
Mailing Address - Fax:
Practice Address - Street 1:55 FEDERAL ST STE 220
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2592
Practice Address - Country:US
Practice Address - Phone:413-225-2792
Practice Address - Fax:833-941-2303
Is Sole Proprietor?:No
Enumeration Date:2023-06-30
Last Update Date:2025-03-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant