John P Russo, DC PC

NPI #1831371681 in Lynbrook, New York

Provider Information

NPI Number: 1831371681
Entity Type: Organization
Organization Name: John P Russo, DC PC
Primary Specialty: Chiropractor
Enumeration Date: Dec 4, 2007
Last Updated: Dec 4, 2007

Practice Location

Address: 20 HEMPSTEAD AVE
City: Lynbrook
State: New York
ZIP Code: 11563-1617
Phone: (516) 599-2593

Authorized Official

Name: MRS. DIANE L O'DONOHUE
Title: OFFICE MANAGER
Phone: (516) 599-2593

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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