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

Glenn Russo

Individual provider Physical Therapist · NPI 1033828488

Glenn Russo is a Physical Therapist in Astoria, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

2527 23rd St
Astoria, NY 11102-2783
Phone: (201) 686-1049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 049881 (NY)

Record details

NPI number1033828488
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 15, 2022
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address2527 23rd St, Astoria, NY 11102-2783

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