| Doctor Name: | MRS. JENNIFER F RUSSO |
| NPI Number: | 1700062577 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., P.T. |
| License Number: | 020253-1 |
| Business Practice Address: | 967 Newbridge Rd North Bellmore, NY - 117101620 |
| Business Phone Number: | 5162200544 |
| Business Fax Number: | 8669754442 |
| Mailing Address: | 3757 Martin Ct, SEAFORD |
| State: | NY |
| Postal Code: | 117831819 |
| Phone Number: | 5162200544 |
| Fax Number: | 8669754442 |
| NPI Enumeration Date: | 01/11/2008 |
| NPI Last Update Date: | 02/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 020253-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |