Individual provider · Type 1 NPI

Mary Russo

Pediatric Nutrition Registered Dietitian · Syracuse, NY

NPI number 1205922382 Active

Practice location

750 E Adams St
Syracuse, NY 13210-2306

Call (315) 464-4220 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004X002593-1 (NY)

Pediatric Nutrition Registered Dietitian: 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 up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1205922382

Mary Russo's National Provider Identifier is 1205922382, issued on Oct 5, 2006. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.