Individual ProviderJohn RussoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4 E South St, Geneseo, NY 14454-1445(585) 243-9150(518) 522-4729PECOS EnrollmentBased on the most recent information from CMS, provider John Russo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1467858407Provider TypeIndividualFull NameRusso, JohnGenderMaleSole ProprietorYesEnumeration Date11/18/2014Last Updated6/24/2019Contact InformationPractice LocationPractice Address4 E South St, Geneseo, NY 14454-1445Phone(585) 243-9150FaxUnlisted FaxMailing LocationMailing Address504 Pinnacle Rd, Rochester, NY 14623-4622Phone(518) 522-4729FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense038683New York