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

Dr. Gerald Russo, MD

Individual provider Pediatrics Physician · NPI 1821176819

Dr. Gerald Russo, MD is a Pediatrics Physician in Dix Hills, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

21 White Birch Dr
Dix Hills, NY 11746-7719
Phone: (631) 385-5113
Fax: (631) 421-1323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 142281 (NY)

Record details

NPI number1821176819
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 8, 2007
Mailing address21 White Birch Dr, Dix Hills, NY 11746-7719

Other providers in Dix Hills