DR. Amanda B Russo, D.C.

NPI #1881999779 in Sayville, New York

Provider Information

NPI Number: 1881999779
Entity Type: Individual
Name: DR. Amanda B Russo, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jan 24, 2011
Last Updated: Oct 24, 2012

Practice Location

Address: 285 TERRY RD
City: Sayville
State: New York
ZIP Code: 11782-3343
Phone: (631) 563-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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