CHARLES LANCE RUSSO (NPI# 1942264189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942264189 |
| Entity Type | Individual |
| Full Name | CHARLES LANCE RUSSO |
| Credential | DPM |
| Practice Address |
481 St Marks Ave Brooklyn NY 11238 |
| Mailing Address |
2260 Benson Ave Apt 4k Brooklyn NY 11214 |
| Practice Telephone | 7186388185 |
| Practice Fax Number | 7183992354 |
| Mailing Telephone | 9175183878 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 003120 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00656079 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376724021 | Charles V Russo | Pharmacist | 906 Janis St, New Roads, IA 70760-2920 | 2007-11-23 |
| 1295803443 | Charles D Russo | Dentist | 2801 N University Dr, Suite 102, Coral Springs, FL 33065-5057 | 2006-12-04 |
| 1588633614 | Charles Damin Russo | Internal Medicine | 4725 N Federal Hwy, Suite 401, Fort Lauderdale, FL 33308 | 2006-03-14 |
| 1245225903 | Charles E. Russo | Specialist | 2855 Gramercy St, Houston, TX 77025-1635 | 2005-09-19 |
| Street Address |
481 ST MARKS AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434135 | Shuowen Zhang | Social Worker | 535 Clinton Ave, 2nd Floor, Brooklyn, NY 11238 | 2020-07-06 |
| 1558909465 | Greene Ave Dental Pllc | Dentist | 335 Greene Ave, Brooklyn, NY 11238 | 2019-12-11 |
| 1558912311 | Haruka Ka | Social Worker | 535 Clinton Avenue, 2nd Floor, Brooklyn, NY 11238 | 2019-09-24 |
| 1407406978 | Zilin Li | Counselor | 535 Clinton Ave 2nd Floor, Community Counseling and Mediation, Brooklyn, NY 11238 | 2019-09-17 |
| 1770065492 | Batsheva Becher | Occupational Therapist | 419 Waverly Ave, Brooklyn, NY 11238 | 2018-08-29 |
| 1083194351 | Manhattan Integrative Gastroenterology | Internal Medicine | 550 Vanderbilt Ave Apt 803, Brooklyn, NY 11238 | 2018-08-16 |
| 1205328010 | Groundwork Therapy Psychological Services, Pllc | Psychologist | 1000 Dean Street, Suite 226, Brooklyn, NY 11238 | 2018-06-06 |
| 1053820464 | Darlene Latasha Parham | Registered Nurse | 400 Saint Marks Ave, 2a, Brooklyn, NY 11238 | 2017-09-28 |
| 1578085585 | Rocio Sorribas | Specialist | 244 Lafayette Avenue, Floor 1, Brooklyn, NY 11238 | 2017-07-11 |
| 1528509056 | Carolanne Marcantonio | Social Worker | 60 Plaza St East, Bs-1, Brooklyn, NY 11238 | 2017-03-16 |
| Find all providers in zip 11238 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1063999183 | Abinash Mishra | Podiatrist | 1360 New York Ave Apt 6f, Brooklyn, NY 11210-6236 | 2018-07-21 |
| 1659863454 | Neil Golombeck Dpm PC | Podiatrist | 4715 13th Ave, Brooklyn, NY 11219-2668 | 2018-06-06 |
| 1497268411 | Marianna Blokh Dpm, P.C. | Podiatrist | 3319 Kings Hwy Apt 1j, Brooklyn, NY 11234-2622 | 2017-11-13 |
| 1972028827 | New York University | Podiatrist | 1309 Avenue P Lowr Level, Brooklyn, NY 11229-1164 | 2017-08-11 |
| 1407241599 | Benish Piracha | Podiatrist | 153 Bay 26th St #1, Brooklyn, NY 11209 | 2015-04-06 |
| 1326450099 | Yana Akselrud | Podiatrist | 2035 Ralph Ave Ste A4, Brooklyn, NY 11234-5300 | 2014-05-28 |
| 1174870059 | Coney Island Medical Services PC | Podiatrist | 178 Avenue S, Brooklyn, NY 11223-2633 | 2012-08-09 |
| 1407114358 | Irina Blustein | Podiatrist | 2680 E 28th St, Brooklyn, NY 11235-2425 | 2012-04-29 |
| 1871850206 | Margarita Presman | Podiatrist | 7408 Avenue T, Brooklyn, NY 11234-6205 | 2012-04-23 |
| 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.