IndividualActive
Andrew Russo, D.O.
NPI 1417984295 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Brooklyn, NY
Provider details
- NPI number
- 1417984295
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 224966 (NY)
Mailing address
433 77th St
Brooklyn, NY 11209-3205
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.