National Provider Identifier
Kelly Ann Russo
Kelly Ann Russo is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 756-4800.
Profile Overview
- NPI
- 1760065254
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 03, 2021
- Last Updated
- May 03, 2021
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 756-4800
Mailing Address
- 545 Park Ave
- Albany, NY 12208-3207
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1760065254
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Kelly
- Middle Name
- Ann
- Mailing Street Address
- 545 Park Ave
- Mailing City
- Albany
- Mailing State
- NY
- Mailing ZIP Code
- 12208-3207
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 756-4800
- Enumeration Date
- May 03, 2021
- Last Updated
- May 03, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 03, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)