Charles Lance Russo is a Brooklyn, New York based male podiatrist with 44 years of experience in Podiatry. He completed his graduation from New York College Of Podiatric Medicine in 1980. He is also affiliated with hospitals like Brooklyn Hospital Center - Downtown Campus. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Charles Lance Russo for Podiatry is 003120 in New York. Charles Lance Russo is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Charles Lance Russo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
44+ years
Medical School Attended:
New York College Of Podiatric Medicine
Graduation Year:
1980
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
481 St Marks Ave, Brooklyn, New York, 11238
Phone:
718-638-8185
Fax:
718-399-2354
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1759359508
Enrollment ID:
I20040920001255
NPI Number:
1942264189
NPI Enumeration Date:
14 Apr, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Lance Russo are as mentioned below.
License Number
Specialization
State
Status
003120
Podiatry
New York
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Brooklyn Hospital Center - Downtown Campus (330056)
Brooklyn, NY
Acute Care Hospital
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles Lance Russo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00656079
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2260 Benson Ave, Apt 4k Brooklyn, New York
Zip:
11214
Phone Number:
917-518-3878
Fax Number:
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Patients can reach Charles Lance Russo at 481 St Marks Ave, Brooklyn, New York or can call to book an appointment on 718-638-8185. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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