MARY RUSSO (NPI# 1205922382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205922382 |
| Entity Type | Individual |
| Full Name | MARY RUSSO |
| Practice Address |
750 E Adams St Syracuse NY 13210-2306 |
| Practice Telephone | 3154644220 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
002593-1 | NY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962703587 | Mary R Russo | Registered Nurse | 603 Willow Ave, Ithaca, NY 14850-3555 | 2010-11-12 |
| 1275851404 | Mary Helen Russo | Audiologist | 750 N Ocean Blvd, # 602, Pompano Beach, FL 33062-4644 | 2010-05-12 |
| 1003049230 | Mary Kathleen Russo | Occupational Therapist | 3775 Country Ln, Brownsburg, IN 46112-8375 | 2009-09-04 |
| 1689880619 | Mary Russo | Marriage & Family Therapist | 137 E Hamilton Ave Ste 207, Campbell, CA 95008-0244 | 2007-05-15 |
| 1023421864 | Mary Russo | Emergency Medicine | 400 W 16th St, Pueblo, CO 81003-2745 | 2014-06-10 |
| 1982970935 | Mary M Russo | Case Manager/Care Coordinator | 420 Magnolia St, Houma, LA 70360-6304 | 2012-03-23 |
| 1225299381 | Mary Elizabeth Russo | Physician Assistant | 540 Union Blvd, West Islip, NY 11795-3105 | 2008-06-21 |
| 1134304967 | Mary Frances Russo | Psychologist | 100 State St, Suite 202, Erie, PA 16507-1454 | 2007-12-28 |
| 1710030234 | Mary Kathleen Russo | Dentist | 804 Highway 71, Sea Girt, NJ 08750-2807 | 2007-01-19 |
| Street Address |
750 E ADAMS ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003193 | Aqeel A Sandhu | Specialist | 750 E Adams St, Syracuse, NY 13210-2306 | 2005-06-15 |
| 1770183972 | Subhashree Dasgupta | Speech-Language Pathologist | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-27 |
| 1841890118 | Danielle Coniglio Gonzalez | Physical Medicine & Rehabilitation | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-27 |
| 1497353858 | Kayleigh M Gifford | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-16 |
| 1578160891 | Steven Lounsbury | Physical Therapist | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-09 |
| 1306453295 | Sarah Persons | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-09-25 |
| 1356956270 | Carlo Manalo Dangcalan | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-09 |
| 1104430396 | Rida Sherwani | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-03 |
| 1003420803 | Michel Tawil | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-08-31 |
| 1669085056 | Komal Syeda | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760874150 | Stacey L Messe | Dietitian, Registered | 725 Irving Ave, Suite 504, Syracuse, NY 13210-1603 | 2015-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750829305 | Maureen Elizabeth Ferrino | Dietitian, Registered | 8160 Lake Shore Rd, Angola, NY 14006-9762 | 2017-02-03 |
| 1386009736 | Brianna Meghan Burghard | Dietitian, Registered | Hsc 11 Rm 048, Stony Brook, NY 11794-8111 | 2015-12-29 |
| 1720450695 | Rachel Hochstadt | Dietitian, Registered | 22202 Town Green Dr, Elmsford, NY 10523-1685 | 2015-10-30 |
| 1497168678 | Danielle Viola | Dietitian, Registered | 34 Crestone Rd, Albany, NY 12205-3209 | 2014-06-05 |
| 1548686132 | Osarose Izevbizua | Dietitian, Registered | 500 Peconic St Apt 96a, Ronkonkoma, NY 11779-7124 | 2014-03-06 |
| 1194085191 | Dina Nicole Worley | Dietitian, Registered | 938 Remington Dr, North Tonawanda, NY 14120-2947 | 2012-05-23 |
| 1073894945 | Angela Maria Schettino | Dietitian, Registered | 3730 Bernard Dr, Wantagh, NY 11793-1650 | 2011-09-06 |
| 1114208089 | Jacqueline E Martin | Dietitian, Registered | 13 Avenue Louise, Massapequa Park, NY 11762-3207 | 2011-09-06 |
| 1902040868 | Maria Dinglasan Kaufer | Dietitian, Registered | 11150 75th Rd, Suite 35a, Forest Hills, NY 11375-6332 | 2009-04-22 |
| 1235384223 | Susan Lee Phillips | Dietitian, Registered | 6 Jodi Ct, Glen Cove, NY 11542-1479 | 2008-11-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.