Mark Russo, ATC, CSCS
NPI #1083024327 in East Syracuse, New York
Provider Information
- NPI Number
- 1083024327
- Entity Type
- Individual
- Name
- Mark Russo, ATC, CSCS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, CSCS
- Enumeration Date
- May 7, 2014
- Last Updated
- May 7, 2014
Practice Location
- Address
- 5823 WIDEWATERS PKWY
- City
- East Syracuse
- State
- New York
- ZIP Code
- 13057-3081
- Phone
- (315) 701-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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