Joseph Louis Russo CHIROPRACTOR

NPI 1053393884 - Chiropractor - 111NS0005X

NPI Details
NPI 1053393884
Gender Male
Enumeration Date 11/17/2005
Last Updated 10/10/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
500 PARK BLVD
MASSAPEQUA PARK NY, 11762-2742, US
Phone (516) 798-8363
Fax (516) 798-8586
Business Location
500 PARK BLVD
MASSAPEQUA PARK NY, 11762-3042, US
Phone (516) 798-8363
Fax (516) 798-8586
Toxanomy
Taxonomy Code 111NS0005X
License State New York
License Number X00003447
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According to our database, Dr. Joseph Louis Russo CHIROPRACTOR NPI is 1053393884, taxonomy code is 111NS0005X and license number is X00003447, license state is located at New York. Joseph Louis Russo CHIROPRACTOR physically located at 500 Park Blvd, Massapequa Park NY, 11762-2742. NPI Number Joseph Louis Russo CHIROPRACTOR has the Individual type.

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1053393884 NPI number is provided on an as is basis without warranty of any kind. 1053393884 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Louis Russo CHIROPRACTOR are for informational purposes only.