NPI 1003115908

Russo Chiropractic,p.C.

Organisation Chiropractor Oakdale, NY

Practice location

Address: 1300 Montauk Hwy, Oakdale, NY 11769-1339
Phone: (631) 567-4437
Fax: (631) 567-3018

Authorised official

Name: John F. Russo
Title: Chiropractor
Phone: (631) 567-4437

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1003115908
Entity type: Organization
NPI issued: 18 Mar 2011
Record last updated: 18 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.