Individual provider · Type 1 NPI

Charles Lance Russo, DPM

Podiatrist · Brooklyn, NY

NPI number 1942264189 Active

Practice location

481 St Marks Ave
Brooklyn, NY 11238

Fax (718) 399-2354

Mailing address

2260 Benson Ave, Apt 4K
Brooklyn, NY 11214

Specialties and licenses

TaxonomyCodeLicense
Podiatrist Primary 213E00000X003120 (NY)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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About NPI 1942264189

Charles Lance Russo, DPM's National Provider Identifier is 1942264189, issued on Apr 14, 2006. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.