Individual
GEORGE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
101 5TH AVE, SUITE 10C, NEW YORK, NY 10003-1023
(646) 654-9529
(212) 488-2121
Mailing address
101 5TH AVE, SUITE 10C, NEW YORK, NY 10003-1023
(646) 654-9529
(212) 488-2121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009793-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562587529 0000
CIGNA HEALTHCARE INC.
PA
01
—
P3695979
OHI INC. (OXFORD)
CT
Enumeration date
06/04/2007
Last updated
07/08/2007
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