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

Mark Russo, ATC, CSCS

Individual provider Athletic Trainer · NPI 1083024327

Mark Russo, ATC, CSCS is an Athletic Trainer in East Syracuse, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

5823 Widewaters Pkwy
East Syracuse, NY 13057-3081
Phone: (315) 701-4000
Fax: (315) 701-4091
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 002388-1 (NY)

Record details

NPI number1083024327
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , CSCS
Sole proprietorNo
NPI enumeratedMay 7, 2014
Last updated in NPPESMay 7, 2014
Mailing address5823 Widewaters Pkwy, East Syracuse, NY 13057-3081

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