Individual provider · Type 1 NPI

Robert Alan Russell, DC

Chiropractor · Mount Vernon, NY

NPI number 1104850684 Active

Practice location

25 East Broad Street
Mount Vernon, NY 10552

Fax (914) 664-0090

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XX2707C (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 1104850684

Robert Alan Russell, DC's National Provider Identifier is 1104850684, issued on Jul 10, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mount Vernon, NY. The record was last updated on Jul 8, 2007.