- Practice location
- 19 Bradhurst Ave, Hawthorne, NY 10532-2140
- Phone
- 914-592-4366
- Fax
- —
- Last updated
- October 19, 2019
Susan Eleanora Russo is a Dietitian, Registered based in Hawthorne, NY. Susan Eleanora Russo practices in Hawthorne, NY and has the professional credentials of RDN, CDN. The NPI Number for Susan Eleanora Russo is 1194368472 and holds a License No. 004615 (NY). The current practice location address for Susan Eleanora Russo is 19 Bradhurst Ave, Hawthorne, NY 10532-2140 and can be reached out via phone at 914-592-4366.
Provider Profile Details
- NPI Number
- 1194368472
- Provider Name
- Susan Eleanora Russo
- Credential
- RDN, CDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 19 Bradhurst Ave, Hawthorne, NY 10532-2140
- Phone Number
- 914-592-4366
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 19, 2019
- Last Update Date
- October 19, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Bradhurst Ave
Hawthorne, NY 10532-2140 - City
- Hawthorne
- State
- New York
- Zip
- 10532-2140
- Phone Number
- 914-592-4366
Provider Business Mailing Address Details
- Address
- 19 Bradhurst Ave
Hawthorne, NY 10532-2140 - City
- Hawthorne
- State
- NY
- Zip
- 10532-2140
- Phone Number
- 914-592-4366
License Information
- License Number
- 004615
- License State
- NY
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Hawthorne, NY
View all Dietitian, Registered providers in Hawthorne →- Diane Lindsay-Adler, RDDietitian, Registered · NPI 1831564616
- Giana Dimaria, MS, RD, CDN, CNSCDietitian, Registered · NPI 1407755259
- Lia A Huben, RDNDietitian, Registered · NPI 1497350235
- Maria Seisdedos, RDDietitian, Registered · NPI 1700873304
- Mrs. Janet Borra, RDDietitian, Registered · NPI 1497179030
- Mrs. Melissa A Kessler, MS RD CDNDietitian, Registered · NPI 1518381169
Frequently Asked Questions
What is the NPI number of Susan E Russo, RDN, CDN?
The NPI number of Susan E Russo, RDN, CDN is 1194368472. It was assigned on October 19, 2019 and is currently active in the NPPES registry.
What is the specialty of Susan E Russo, RDN, CDN?
Susan E Russo, RDN, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 004615.
Where does Susan E Russo, RDN, CDN practice?
The practice location is 19 Bradhurst Ave, Hawthorne, NY 10532-2140. The office can be reached at 914-592-4366 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194368472 directly on the NPPES registry website.