# LAKEVIEW CHIROPRACTIC, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568855302
- **Authorized official:** DR. RUSSELL NERSESOV D.C (PRESIDENT)
- **Authorized official phone:** (516) 868-7746

## Contact information

- **Practice address:** 2071 MERRICK RD, MERRICK, NY 11566-4749
- **Practice address phone:** (516) 868-7746
- **Practice address fax:** (516) 977-3002
- **Mailing address:** 2071 MERRICK RD, MERRICK, NY 11566-4749
- **Mailing address phone:** (516) 868-7746
- **Mailing address fax:** (516) 977-3002

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2015
- **Last updated:** 03/17/2015