National Provider Identifier
John Russo
John Russo is listed in the NPPES registry with a primary specialty of Physical Therapist in Geneseo, NY and a listed phone number of (585) 243-9150.
Profile Overview
- NPI
- 1467858407
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- November 18, 2014
- Last Updated
- June 24, 2019
Practice Location
- 4 E South St
- Geneseo, NY 14454-1445
Phone: (585) 243-9150
Mailing Address
- 504 Pinnacle RD
- Rochester, NY 14623-4622
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1467858407
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- John
- Mailing Street Address
- 504 Pinnacle RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-4622
- Mailing Country
- US
- Mailing Phone
- (518) 522-4729
- Practice Street Address
- 4 E South St
- Practice City
- Geneseo
- Practice State
- NY
- Practice ZIP Code
- 14454-1445
- Practice Country
- US
- Practice Phone
- (585) 243-9150
- Enumeration Date
- November 18, 2014
- Last Updated
- June 24, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)