Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Ann Russo, OTR/L

Individual provider Occupational Therapist · NPI 1699295469

Nicole Ann Russo, OTR/L is an Occupational Therapist in East Syracuse, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

6575 Kirkville Rd
East Syracuse, NY 13057-9809
Phone: (315) 701-5710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 021565 (NY)

Record details

NPI number1699295469
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJune 22, 2017
Last updated in NPPESJune 22, 2017

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