# BACK TO LIFE

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

## Provider details

- **NPI number:** 1821000597
- **Authorized official:** DR. MURRAY ALLAN RUSSELL D.C. (MANAGING DIRECTOR/OWNER)
- **Authorized official phone:** (516) 343-4926

## Contact information

- **Practice address:** 901 STEWART AVE, SUITE 285, GARDEN CITY, NY 11530-4893
- **Practice address phone:** (516) 343-4926
- **Mailing address:** 75 E BROADWAY, SUITE 1A, LONG BEACH, NY 11561-4129
- **Mailing address phone:** (516) 343-4926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X011035-1 | NY | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 08/22/2020