Organization
JOHN P RUSSO, DC PC
Active
Other names
RUSSO CHIROPRACTICE OFFICE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE L O'DONOHUE (OFFICE MANAGER)
(516) 599-2593
Entity
Organization
Contact information
Practice address
20 HEMPSTEAD AVE, LYNBROOK, NY 11563-1617
(516) 599-2593
Mailing address
20 HEMPSTEAD AVE, LYNBROOK, NY 11563-1617
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X003947
NY
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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