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Mary Russo
Pediatric Nutrition Registered Dietitian in Syracuse, New York
NPI 1205922382

Mary Russo is a Pediatric Nutrition Registered Dietitian based in Syracuse, NY and is specialized in Nutrition, Pediatric. Mary Russo practices in Syracuse, NY. The NPI Number for Mary Russo is 1205922382 and holds a License No. 002593-1 (New York).

The current practice location address for Mary Russo is 750 E Adams St, Syracuse, NY and can be reached out via phone at 315-464-4220. You can also correspond with Mary Russo through the mailing address at 750 E ADAMS ST, SYRACUSE, NY - 13210-2306 (mailing address contact number: ).

Location: 750 E Adams St, Syracuse, NY, 13210-2306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205922382
Provider Name
Mary Russo
Credential
Provider Entity Type
Individual
Gender
Female
Address
750 E Adams St, Syracuse, NY, 13210-2306
Phone Number
315-464-4220
Fax Number
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-4220
Fax Number
person
Provider Business Mailing Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
002593-1 (New York)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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