Organization
LAKEVIEW CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL NERSESOV D.C (PRESIDENT)
(516) 868-7746
Entity
Organization
Contact information
Practice address
2071 MERRICK RD, MERRICK, NY 11566-4749
(516) 868-7746
(516) 977-3002
Mailing address
2071 MERRICK RD, MERRICK, NY 11566-4749
(516) 868-7746
(516) 977-3002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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