Organization
BACK TO LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MURRAY ALLAN RUSSELL D.C. (MANAGING DIRECTOR/OWNER)
(516) 343-4926
Entity
Organization
Contact information
Practice address
901 STEWART AVE, SUITE 285, GARDEN CITY, NY 11530-4893
(516) 343-4926
Mailing address
75 E BROADWAY, SUITE 1A, LONG BEACH, NY 11561-4129
(516) 343-4926
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011035-1
NY
Other
Enumeration date
08/12/2006
Last updated
08/22/2020
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