Russo, Robert A

Russo, Robert A is an individual health care provider with primary practice located at 1255 Portland Ave , Rochester NY 14621-2728. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Russo, Robert A can be contacted via phone (585) 342-8700.

Contact Information

Primary practice address
1255 Portland Ave Rochester NY 14621-2728
Phone: (585) 342-8700
Fax: (585) 342-4159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N003121-1 New York

Profile Details

NPI number 1881643245
LBN Legal business name Russo, Robert A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Aug 22nd, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881643245 NPPES
New York Other P00277586 RAILROAD MEDICARE
New York Other PO3121-2B RAILROAD MEDICARE
New York Other P020003121 RAILROAD MEDICARE
New York Other 1499389 RAILROAD MEDICARE
New York MEDICAID 00622495 RAILROAD MEDICARE
New York Other 5114559 RAILROAD MEDICARE
New York Other P010003121 RAILROAD MEDICARE
New York Other 101935EQ RAILROAD MEDICARE

Popular Providers