National Provider Identifier
Anthony Russo
Anthony Russo is listed in the NPPES registry with a primary specialty of Radiologic Technologist in Rochester, NY and a listed phone number of (585) 704-2878.
Profile Overview
- NPI
- 1912523648
- Provider Type
- Individual
- Primary Specialty
- Radiologic Technologist
- Enumeration Date
- June 18, 2020
- Last Updated
- June 18, 2020
Practice Location
- 163 Quarterdeck Pl
- Rochester, NY 14612-1432
Phone: (585) 704-2878
Specialties
- Radiologic Technologist (247100000X)
Full Record
- NPI
- 1912523648
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Anthony
- Mailing Street Address
- 163 Quarterdeck Pl
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-1432
- Mailing Country
- US
- Mailing Phone
- (585) 704-2878
- Practice Street Address
- 163 Quarterdeck Pl
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-1432
- Practice Country
- US
- Practice Phone
- (585) 704-2878
- Enumeration Date
- June 18, 2020
- Last Updated
- June 18, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 18, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Radiologic Technologist (247100000X)