# DR. MICHAEL SCOTT RUSSO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164465571
- **Gender:** Man
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X006933 | NY | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 08/01/2026

## 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 |