Individual
ANTHONY RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
240 E 38TH ST, NEW YORK, NY 10016-2708
(212) 263-6037
Mailing address
298 MAYBURY AVE, STATEN ISLAND, NY 10308-3252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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