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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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