DR. Brian James Di Russa, D.C.

NPI #1639243462 in Southampton, New York

Provider Information

NPI Number: 1639243462
Entity Type: Individual
Name: DR. Brian James Di Russa, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Nov 20, 2006
Last Updated: Jan 8, 2014

Practice Location

Address: 80 MARYS LN
City: Southampton
State: New York
ZIP Code: 11968-5614
Phone: (631) 283-7474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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