DR. Michael Scott Russo, DC

NPI #1164465571 in Rockville Centre, New York

Provider Information

NPI Number: 1164465571
Entity Type: Individual
Name: DR. Michael Scott Russo, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jun 14, 2006
Last Updated: Jul 8, 2010

Practice Location

Address: 100 N CENTRE AVE
Address 2: SUITE 202
City: Rockville Centre
State: New York
ZIP Code: 11570-3937
Phone: (516) 763-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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