Joseph L Russo Doctor of Chiropractic PC
NPI #1295784288 in Massapequa Park, New York
Provider Information
- NPI Number
- 1295784288
- Entity Type
- Organization
- Organization Name
- Joseph L Russo Doctor of Chiropractic PC
- Primary Specialty
- Chiropractor - Sports Physician
- Enumeration Date
- May 8, 2006
- Last Updated
- Dec 3, 2012
Practice Location
- Address
- 500 PARK BLVD
- City
- Massapequa Park
- State
- New York
- ZIP Code
- 11762-3042
- Phone
- (516) 798-8363
Authorized Official
- Name
- DR. JOSEPH LOUIS RUSSO, DC
- Title
- PRESIDENT
- Phone
- (516) 798-8363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Sports Physician — Sports Physician |
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