DR. ANDREW RUSSO (NPI# 1417984295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417984295 |
| Entity Type | Individual |
| Full Name | DR. ANDREW RUSSO |
| Credential | D.O. |
| Practice Address |
433 77th St Brooklyn NY 11209-3205 |
| Practice Telephone | 7182381155 |
| Mailing Telephone | 7182381155 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 224966 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013376649 | Andrew Peter Russo | Specialist/Technologist | 301 Meeting St, Charleston, SC 29424-1552 | 2016-02-10 |
| Street Address |
433 77TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11209-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801870787 | Brian Alexander Mabrey | Physical Therapist | 433 77th St, Brooklyn, NY 11209-3205 | 2005-12-03 |
| 1255567277 | Progressive Podiatry, Pllc | Podiatrist | 433 77th St, Brooklyn, NY 11209-3205 | 2009-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897737 | Antar, LLC | Optometrist | 9714 Fourth Ave, Store Front, Brooklyn, NY 11209 | 2020-07-06 |
| 1184250540 | Daily Strength Physical Therapy Pllc | Physical Therapist | 343 Marshall Drive N #2a, Brooklyn, NY 11209 | 2020-03-18 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1932660917 | Kristen Elizabeth Dalelio | Social Worker | 9401 4th Ave Fl 1, Brooklyn, NY 11209 | 2019-03-30 |
| 1346706413 | Yelena Lobova | Specialist | 7100 Ridge Blvd Apt 3c, Brooklyn, NY 11209 | 2019-02-13 |
| 1841781648 | Ian Rugg Psychology Pllc | Psychologist | 545 73rd Street, Ground Floor, Brooklyn, NY 11209 | 2018-05-29 |
| 1194227520 | Constantinos Kokkinos | Social Worker | 37 72nd St Apt 1, Brooklyn, NY 11209 | 2018-03-01 |
| 1760905186 | Ankita Luthra | Student in an Organized Health Care Education/Training Program | 470 84th Street Brooklyn, New York, NY 11209 | 2017-07-18 |
| 1700308186 | Griselda Marleny Rodriguez Jorge | Social Worker | 1 74th Street, Apt 4m, Brooklyn, NY 11209 | 2017-07-07 |
| 1932629854 | Jonathan Dennehy | Social Worker | 307 West 38th Street, Suite 817, New York, NY 11209 | 2017-06-21 |
| Find all providers in zip 11209 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447302211 | West End Medical PC | Neuromusculoskeletal Medicine, Sports Medicine | 11 W End Ave Ste 1, Brooklyn, NY 11235-4812 | 2007-01-18 |
| 1245231687 | Anatoly Pisman | Neuromusculoskeletal Medicine, Sports Medicine | 1911 Avenue L, Brooklyn, NY 11230-5002 | 2005-08-09 |
| 1528068954 | Marshall J Keilson | Neuromusculoskeletal Medicine, Sports Medicine | 2044 Ocean Ave, Suite A8, Brooklyn, NY 11230-7393 | 2005-07-28 |
| 1598765059 | Steven D Styler | Neuromusculoskeletal Medicine, Sports Medicine | 1404 48th St, Brooklyn, NY 11219-3243 | 2005-07-27 |
| 1487289013 | Metro Healthcare Partners | Neuromusculoskeletal Medicine, Sports Medicine | 3500 Nostrand Ave, Brooklyn, NY 11229-5107 | 2020-03-04 |
| 1770764110 | Danielle Geraldi-samara | Neuromusculoskeletal Medicine, Sports Medicine | 300 Cadman Plaza West, Brooklyn, NY 11201 | 2007-11-14 |
| 1518019330 | Inna Lopatinsky | Neuromusculoskeletal Medicine, Sports Medicine | 11 W End Ave Ste 1, Brooklyn, NY 11235-4812 | 2007-01-18 |
| 1851466320 | Yuliya Vinokurova Medical P.C. | Neuromusculoskeletal Medicine, Sports Medicine | 209 Avenue P, Brooklyn, NY 11204-4903 | 2006-11-21 |
| 1912089400 | Nydia M Reddy | Neuromusculoskeletal Medicine, Sports Medicine | 2094 Pitkin Ave, Brooklyn, NY 11207-3509 | 2006-10-20 |
| 1316027212 | Pierre Carousse Jean Felix | Neuromusculoskeletal Medicine, Sports Medicine | 760 Broadway, Brooklyn, NY 11206-5317 | 2006-10-16 |
| Find all providers in BROOKLYN | ||||
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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.