Individual provider · Type 1 NPI
Robert Ronald Larusso, DC
Chiropractor · Staten Island, NY
NPI number
1184803967
Active
Practice location
14 Belfield Ave
Staten Island, NY 10312
Fax (718) 966-0400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X0026121 (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 1184803967
Robert Ronald Larusso, DC's National Provider Identifier is 1184803967, issued on Oct 30, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Staten Island, NY. The record was last updated on Oct 30, 2007.