National Provider Identifier

Gary Michael Russotti, MD, MS

Gary Michael Russotti, MD, MS is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician in Honeoye Falls, NY and a listed phone number of (585) 797-4259.

NPI 1891903738Honeoye Falls, NYOrthopaedic Surgery Physician

Profile Overview

NPI
1891903738
Provider Type
Individual
Primary Specialty
Orthopaedic Surgery Physician
Enumeration Date
May 21, 2007
Last Updated
July 08, 2007

Practice Location

  • 21 Rodney Dr
  • Honeoye Falls, NY 14472-1223

Phone: (585) 797-4259

Specialties

  • Orthopaedic Surgery Physician (207X00000X)
Full Record
NPI
1891903738
Entity Type
Individual
Last Name
Russotti
First Name
Gary
Middle Name
Michael
Name Prefix
Dr.
Credential
MD, MS
Mailing Street Address
21 Rodney Dr
Mailing City
Honeoye Falls
Mailing State
NY
Mailing ZIP Code
14472-1223
Mailing Country
US
Mailing Phone
(585) 797-4259
Practice Street Address
21 Rodney Dr
Practice City
Honeoye Falls
Practice State
NY
Practice ZIP Code
14472-1223
Practice Country
US
Practice Phone
(585) 797-4259
Enumeration Date
May 21, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthopaedic Surgery Physician (207X00000X)