DR. Joseph Louis Russo, CHIROPRACTOR
NPI #1053393884 in Massapequa Park, New York
Provider Information
- NPI Number
- 1053393884
- Entity Type
- Individual
- Name
- DR. Joseph Louis Russo, CHIROPRACTOR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor - Sports Physician
- Credential
- CHIROPRACTOR
- Enumeration Date
- Nov 17, 2005
- Last Updated
- Oct 10, 2012
Practice Location
- Address
- 500 PARK BLVD
- City
- Massapequa Park
- State
- New York
- ZIP Code
- 11762-2742
- Phone
- (516) 798-8363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Sports Physician — Sports Physician |
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Organizations
| Provider Name | |
|---|---|
| Joseph L Russo Doctor of Chiropractic PC |
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