National Provider Identifier

Gregory Christopher Russo, MD

Gregory Christopher Russo, MD 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) 341-6775.

NPI 1912693565Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1912693565
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 17, 2023
Last Updated
February 15, 2026

Practice Location

  • 990 South Ave Ste 207
  • Rochester, NY 14620-2762

Phone: (585) 341-6775

Mailing Address

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1912693565
Entity Type
Individual
Last Name
Russo
First Name
Gregory
Middle Name
Christopher
Name Prefix
Dr.
Credential
MD
Mailing Street Address
601 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 756-4800
Practice Street Address
990 South Ave Ste 207
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2762
Practice Country
US
Practice Phone
(585) 341-6775
Practice Fax
(585) 341-8310
Enumeration Date
April 17, 2023
Last Updated
February 15, 2026
Sex
Male
Sole Proprietor
No
Certification Date
February 15, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)