Mary Russo is a Nutrition, Pediatric in Syracuse, New York. Mary Russo practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Mary Russo is 1205922382. The last update date is 2007-07-08.
Mary Russo's current location address is 750 E Adams St, Syracuse, New York. You can contact this provider via phone number 3154644220. The mailing address for Mary Russo is 750 E Adams St, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Russo |
|---|---|
| Address | 750 E Adams St, Syracuse, New York |
| Phone Number | 3154644220 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1205922382 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 750 E Adams St |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 132102306 |
| Phone Number | 3154644220 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 002593-1 |
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Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Post Comment/ Review Below
What is the unique identifier code issued to Mary Russo by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Russo has been assigned the NPI (National Provider Identifier) 1205922382. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mary Russo's physical address?
The Mary Russo is physically located at 750 E Adams St, in the city of Syracuse, NY, with the postal code 132102306.
What is the Mary Russo's area of specialization and corresponding taxonomy classification?
The Mary Russo's specialty field is Nutrition, Pediatric, and it falls under the taxonomy code 133Vn1004X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205922382 to Mary Russo?
The Centers for Medicare & Medicaid Services originally issued the 1205922382 to Mary Russo on 2006-10-05.
As of what date was the information pertaining to Mary Russo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Russo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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