Russo Chiropractic,p.c.

NPI #1003115908 in Oakdale, New York

Provider Information

NPI Number: 1003115908
Entity Type: Organization
Organization Name: Russo Chiropractic,p.c.
Primary Specialty: Chiropractor
Enumeration Date: Mar 18, 2011
Last Updated: Mar 18, 2011

Practice Location

Address: 1300 MONTAUK HWY
City: Oakdale
State: New York
ZIP Code: 11769-1339
Phone: (631) 567-4437

Authorized Official

Name: JOHN F. RUSSO, D.C.
Title: CHIROPRACTOR
Phone: (631) 567-4437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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