Individual provider · Type 1 NPI
Randolph Joseph Russo, DC
Chiropractor · New City, NY
NPI number
1073697637
Active
Practice location
16 Squadron Blvd, Ste 102
New City, NY 10956-5268
Fax (845) 634-2227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X008265-1 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1073697637
Randolph Joseph Russo, DC's National Provider Identifier is 1073697637, issued on Oct 24, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in New City, NY. The record was last updated on Apr 25, 2023.