MARK RUSSO ATC, CSCS
NPI 1083024327
Specialist/Technologist - Athletic Trainer in East Syracuse, NY

Q: What is Mark Russo's NPI number?

The NPI number for Mark Russo is 1083024327. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Q: What is Mark Russo's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Mark Russo was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 07, 2014

5823 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057(315) 701-4000(315) 701-4091 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mark Russo Atc, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK RUSSO ATC, CSCS (NPI 1083024327) is an individual athletic trainer provider in East Syracuse, New York, licensed in New York (002388-1) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1083024327

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMARK RUSSOCredential: ATC, CSCS

Location Address5823 WIDEWATERS PKWYEast Syracuse, NY 13057-3081

Mailing Address5823 Widewaters PkwyEast Syracuse, NY 13057-3081 · (315) 701-4000 · Fax (315) 701-4091

Phone(315) 701-4000

Fax(315) 701-4091

Sole ProprietorNo

Enumeration DateMay 7, 2014

✔ NPI 1083024327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in NY · 002388-1

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

5823 WIDEWATERS PKWY, East Syracuse, NY 13057

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI LEIGH DIMEIS NP

Nurse Practitioner

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 500-7546

RENEE S MELFI MD

Physical Medicine & Rehabilitation (Pain Medicine)

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 701-4000

CONNOR DELANEY DPT

Physical Therapist

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 418-4013

BRIAN RAPHAEL M.D.

Dermatology (MOHS-Micrographic Surgery)

5823 WIDEWATERS PKWY, SUITE 4
EAST SYRACUSE, NY 13057

Onondaga County (315) 500-7546

RSM MEDICAL ASSOCIATES, PLLC

Orthopaedic Surgery

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 426-0190

MARGARET DRESCHER PA

Physician Assistant

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 500-7546

CNY INTERNISTS, PC

Internal Medicine

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 449-4028

EMPIRE DERMATOLOGY PLLC

Dermatology (MOHS-Micrographic Surgery)

5823 WIDEWATERS PKWY, SUITE 4
EAST SYRACUSE, NY 13057

Onondaga County (315) 500-7546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Russo's NPI number?

The NPI number for Mark Russo is 1083024327. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Mark Russo located?

Mark Russo practices at 5823 Widewaters Pkwy, East Syracuse, NY 13057. The listed phone number is (315) 701-4000.

What is Mark Russo's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Mark Russo was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.