NPI 1417984295

Andrew Russo, DO

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Brooklyn, NY

Practice location

Address: 433 77th St, Brooklyn, NY 11209-3205
Phone: (718) 238-1155

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 224966 (NY)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in New York →

Registry record

NPI: 1417984295
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.