Individual
DR. MARCUS R 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
(718) 358-5500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X4547-1
NY
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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