John Russo

NPI #1467858407 in Geneseo, New York

Provider Information

NPI Number: 1467858407
Entity Type: Individual
Name: John Russo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Nov 18, 2014
Last Updated: Jun 24, 2019

Practice Location

Address: 4 E SOUTH ST
City: Geneseo
State: New York
ZIP Code: 14454-1445
Phone: (585) 243-9150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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