National Provider Identifier
Thomas J Russo, D.O.
Thomas J Russo, D.O. is listed in the NPPES registry with a primary specialty of Surgery Physician in Rochester, NY and a listed phone number of (585) 247-4770.
Profile Overview
- NPI
- 1235511205
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- June 25, 2015
- Last Updated
- June 24, 2020
Practice Location
- 99 Canal Landing Blvd Ste 6
- Rochester, NY 14626-5112
Phone: (585) 247-4770
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1235511205
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Thomas
- Middle Name
- J
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 99 Canal Landing Blvd Ste 6
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-5112
- Mailing Country
- US
- Mailing Phone
- (585) 247-4770
- Mailing Fax
- (585) 247-4268
- Practice Street Address
- 99 Canal Landing Blvd Ste 6
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-5112
- Practice Country
- US
- Practice Phone
- (585) 247-4770
- Practice Fax
- (585) 247-4268
- Enumeration Date
- June 25, 2015
- Last Updated
- June 24, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 24, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)