John P Russo, CHIROPRACTOR

NPI #1376515684 in Malverne, New York

Provider Information

NPI Number: 1376515684
Entity Type: Individual
Name: John P Russo, CHIROPRACTOR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: CHIROPRACTOR
Enumeration Date: Feb 2, 2006
Last Updated: May 29, 2018

Practice Location

Address: 10 BROADWAY
City: Malverne
State: New York
ZIP Code: 11565
Phone: (516) 599-2593

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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