Charles Lance Russo
DPM | Podiatrist | 45+ years Exp
Medicare Enrolled
481 St Marks Ave, Brooklyn
New York, 11238
718-638-8185 718-399-2354
Maps & DirectionsCharles Lance Russo is a Brooklyn, New York based podiatrist with 45 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: | Podiatry |
| Credentials: | DPM |
| Experience: | 45+ 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:
Doctors 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: | -- |
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.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.