Individual
DR. KRIS RUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6127 WOODSIDE AVE, WOODSIDE, NY 11377-3542
(718) 358-5500
Mailing address
6127 WOODSIDE AVE, WOODSIDE, NY 11377-3542
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
XOO8039-1
NY
Other
Enumeration date
05/15/2008
Last updated
11/21/2008
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