Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK RUSSO, MD
ActiveJACK RUSSO, MD is a Otolaryngology healthcare provider located in BROOKLYN, New York. NPI 1689990616 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · BROOKLYN, NY
Registration Details
- NPI Number
- 1689990616
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2010 (16.3714124935 yrs)
- Last Updated
- Feb 4, 2019
- License
-
277526 (NY)
Practice Information
- Address
-
300 CADMAN PLZ W STE 1301BROOKLYN, NY, 112013229Browse NY providers · Browse ZIP 11201
- Phone
- 7182084449
- Fax
- 7182084663
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in BROOKLYN, NY
| Name | Credential | NPI |
|---|---|---|
| DR. NIRA A. GOLDSTEIN | M.D. | 1689658288 |
| DR. KRISHNAMURTHI SUNDARAM | M.D. | 1306821921 |
| DR. FRANK E. LUCENTE | M.D. | 1568447183 |
| DR. CHRISTOPHER S. SONG | M.D. | 1770568818 |
| DR. MARC DAVID GOTTLIEB | M.D. | 1104803287 |
| DR. MICHAEL H. WEISS | M.D. | 1417937335 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.