Sam D Russo (NPI# 1164823787, PAC ID# 9739480153) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1164823787 |
| PAC ID by PECOS | 9739480153 |
| Professional Enrollment ID | I20171207002322 |
| Full Name | Sam D Russo |
| Organization Legal Name | ASHRAF MEDICAL GROUP PLLC |
| Address |
3244 E Main St Mohegan Lake NY 10547-1535 |
| Phone Number | 8452049260 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1850560830 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3244 E Main St, Mohegan Lake, NY 10547-1535 | 8452049260 | ASHRAF MEDICAL GROUP PLLC |
| 900 Route 376 H, Wappingers Falls, NY 12590-6496 | 8452049260 | ASHRAF MEDICAL GROUP PLLC |
| Organization Legal Name | ASHRAF MEDICAL GROUP PLLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanean G Aming | Nurse Practitioner | Ashraf Medical Group Pllc | 572 Route 6, Mahopac, NY 10541-4787 |
| Lisa R Bilyeu | Nurse Practitioner | Ashraf Medical Group Pllc | 900 Route 376 H, Wappingers Falls, NY 12590-6496 |
| Ashly N Abraham | Nurse Practitioner | Ashraf Medical Group Pllc | 572 Route 6, Mahopac, NY 10541-4787 |
| Carmen Jackson | Nurse Practitioner | Ashraf Medical Group Pllc | 900 Route 376 H, Wappingers Falls, NY 12590-6496 |
| Mirza Maqbool Ashraf | Cardiovascular Disease (cardiology) | Ashraf Medical Group Pllc | 572 Route 6, Mahopac, NY 10541-4787 |
| John C Dubberstein | General Practice | Ashraf Medical Group Pllc | 900 Route 376 H, Wappingers Falls, NY 12590-6496 |
| Patricia L Chiera | Nurse Practitioner | Ashraf Medical Group Pllc | 900 Route 376 H, Wappingers Falls, NY 12590-6496 |
| Maryam Zehtabpour | Physician Assistant | Ashraf Medical Group Pllc | 3244 E Main St, Mohegan Lake, NY 10547-1535 |
| Annamarie E Dolgov | Nurse Practitioner | Ashraf Medical Group Pllc | 900 Route 376 H, Wappingers Falls, NY 12590-6496 |
| Jennifer Lyn Miano | Nurse Practitioner | Ashraf Medical Group Pllc | 900 Route 376 H, Wappingers Falls, NY 12590-6496 |
| Street Address |
3244 E MAIN ST |
| City | MOHEGAN LAKE |
| State | NY |
| Zip | 10547-1535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryam Zehtabpour | Physician Assistant | Ashraf Medical Group Pllc | 3244 E Main St, Mohegan Lake, NY 10547-1535 |
| Charmi Patel | Physician Assistant | Ashraf Medical Group Pllc | 3244 E Main St, Mohegan Lake, NY 10547-1535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail Freundlich | Clinical Social Worker | 3730 Chesterfield Dr, Mohegan Lake, NY 10547-1005 | |
| James Weaver | Psychologist, Clinical | 1994 E Main St, Mohegan Lake, NY 10547-1231 | |
| Mary C Ridge | Chiropractic | 1881 E Main St, Mohegan Lake, NY 10547-1249 | |
| Patricia E Kravit | Psychologist, Clinical | On-site Psychological Services PC | 3441 Lexington Ave, Mohegan Lake, NY 10547-1278 |
| Carolann F Furchi | Psychologist, Clinical | On-site Psychological Services PC | 3441 Lexington Ave, Mohegan Lake, NY 10547-1278 |
| Aleksander Shalshin | Pulmonary Disease | 3441 Lexington Ave, Mohegan Lake, NY 10547-1278 | |
| Lynn A Culbertson | Physical Therapy | 3098 Maqua Pl, Mohegan Lake, NY 10547-1818 | |
| Robert Ornstein | Clinical Social Worker | 2974 Sherman Court, Mohegan Lake, NY 10547-1829 |
| City | MOHEGAN LAKE |
| Zip Code | 10547 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MOHEGAN LAKE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Sam D Russo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.