DR. Randolph Joseph Russo, DC

NPI #1073697637 in New City, New York

Provider Information

NPI Number: 1073697637
Entity Type: Individual
Name: DR. Randolph Joseph Russo, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Oct 24, 2006
Last Updated: Apr 25, 2023

Practice Location

Address: 16 SQUADRON BLVD
Address 2: STE 102
City: New City
State: New York
ZIP Code: 10956-5268
Phone: (845) 634-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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