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

Mary Russo

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1205922382

Mary Russo is a Pediatric Nutrition Registered Dietitian in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-4220
Show map & directions

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

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X · Licence 002593-1 (NY)

Record details

NPI number1205922382
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address750 E Adams St, Syracuse, NY 13210-2306

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