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
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X2707C (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.
Other chiropractor providers in Mount Vernon
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.