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

Kyle Stephen Ang Russo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740070127

Kyle Stephen Ang Russo, MD is a Student in an Organized Health Care Education/Training Program in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1740070127
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 8, 2025
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

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