Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Lance Russo, DPM

Individual provider Podiatrist · NPI 1942264189

Charles Lance Russo, DPM is a Podiatry in Brooklyn, New York. Graduated from New York College of Podiatric Medicine in 1980, 46 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
46
Trained at
New York College of Podiatric Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

481 St Marks Ave
Brooklyn, NY 11238
Phone: (718) 638-8185
Fax: (718) 399-2354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 003120 (NY)

Record details

NPI number1942264189
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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