Individual
KELLY RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2647
Mailing address
783 MIDDLEBURY RD, WEBSTER, NY 14580-2681
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
917553
NY
Other
Enumeration date
12/02/2025
Last updated
02/06/2026
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