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Individual
DR. MICHAEL SCOTT RUSSO
Active
Individual
DR. MICHAEL SCOTT RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006933
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002357
SELECT PRO ID#
NY
01
—
1295243
UNITED HEALTHCARE ID#
NY
01
—
1C9303
HEALTHNET ID#
NY
01
—
322612
ACN GROUP ID#
NY
01
—
5303872
GHI / ALIGNIS ID#
NY
01
—
5597187
AETNA ID #
NY
01
—
63503
VYTRA ID#
NY
01
—
CO6933-8
NYS WORK COMP #
NY
01
—
NY06933
LANDMARK HC ID#
NY
01
—
P62591639
MULTIPLAN ID#
NY
01
—
P744425
OXFORD ID #
NY
Enumeration date
06/14/2006
Last updated
08/01/2026
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