Individual provider · Type 1 NPI

Joseph Louis Russo, CHIROPRACTOR

Sports Physician Chiropractor · Massapequa Park, NY

NPI number 1053393884 Active

Practice location

500 Park Blvd
Massapequa Park, NY 11762-2742

Fax (516) 798-8586

Specialties and licenses

TaxonomyCodeLicense
Sports Physician Chiropractor Primary 111NS0005XX00003447 (NY)

Sports Physician Chiropractor: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …

4 other providers at this address

About NPI 1053393884

Joseph Louis Russo, CHIROPRACTOR's National Provider Identifier is 1053393884, issued on Nov 17, 2005. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Massapequa Park, NY. The record was last updated on Oct 10, 2012.