DR. ANDREW RUSSO D.O.
NPI 1417984295
Neuromusculoskeletal Medicine, Sports Medicine in Brooklyn, NY
- Individual
- Male
- Neuromusculoskeletal Medicine, Sports Me...
About ANDREW RUSSO
This page provides the complete NPI Profile along with additional information for Andrew Russo, a provider established in Brooklyn, New York with a medical specialization in Neuromusculoskeletal Medicine, Sports Medicine. The healthcare provider is registered in the NPI registry with number 1417984295 assigned on June 2006. The practitioner's primary taxonomy code is 204C00000X with license number 224966 (NY). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1417984295 Verify this NPI
- Provider Name
- DR. ANDREW RUSSO D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 433 77TH ST BROOKLYN, NY 11209
- Location Phone
- (718) 238-1155
- Mailing Address
- 433 77TH ST BROOKLYN, NY 11209
- Mailing Phone
- (718) 238-1155
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-27-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neuromusculoskeletal Medicine, Sports Medicine
- Taxonomy Code
- 204C00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 224966
- License State
- NY
- Taxonomy Description
- A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H83156 | MEDICARE UPIN (02) | NY | |
| 62V422 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417984295, enumerated as an "individual" on June 27, 2006.
The provider is located at 433 77TH ST BROOKLYN, NY 11209 and the phone number is (718) 238-1155.
Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
