National Provider Identifier
Russell A Certo, PT OCS
Russell A Certo, PT OCS is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist in Grand Island, NY and a listed phone number of (716) 773-4323.
Profile Overview
- NPI
- 1275502742
- Provider Type
- Individual
- Primary Specialty
- Orthopedic Physical Therapist
- Enumeration Date
- March 16, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1801 Grand Island Blvd
- Grand Island, NY 14072
Phone: (716) 773-4323
Specialties
- Orthopedic Physical Therapist (2251X0800X)
Full Record
- NPI
- 1275502742
- Entity Type
- Individual
- Last Name
- Certo
- First Name
- Russell
- Middle Name
- A
- Name Prefix
- Mr.
- Credential
- PT OCS
- Mailing Street Address
- 1801 Grand Island Blvd
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072
- Mailing Country
- US
- Mailing Phone
- (716) 773-4323
- Mailing Fax
- (716) 773-9418
- Practice Street Address
- 1801 Grand Island Blvd
- Practice City
- Grand Island
- Practice State
- NY
- Practice ZIP Code
- 14072
- Practice Country
- US
- Practice Phone
- (716) 773-4323
- Practice Fax
- (716) 773-9418
- Enumeration Date
- March 16, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthopedic Physical Therapist (2251X0800X)
- Other Identifiers
- 000606777004 (Blue Cross Blue Shield), 9352188 (Independent Health), 000606777005 (Dme)