Organization
JOSEPH L RUSSO DOCTOR OF CHIROPRACTIC PC
Active
Organization
JOSEPH L RUSSO DOCTOR OF CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH LOUIS RUSSO DC (PRESIDENT)
(516) 798-8363
Entity
Organization
Contact information
Practice address
500 PARK BLVD, MASSAPEQUA PARK, NY 11762-3042
(516) 798-8363
(516) 798-8586
Mailing address
500 PARK BLVD, MASSAPEQUA PARK, NY 11762-3042
(516) 798-8363
(516) 798-8586
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X0003447
NY
Other
Enumeration date
05/08/2006
Last updated
12/03/2012
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