Organization · Type 2 NPI

Joseph L Russo Doctor of Chiropractic PC

Sports Physician Chiropractor · Massapequa Park, NY

NPI number 1295784288 Active

Practice location

500 Park Blvd
Massapequa Park, NY 11762-3042

Fax (516) 798-8586

Specialties and licenses

TaxonomyCodeLicense
Sports Physician Chiropractor Primary 111NS0005XX0003447 (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 1295784288

Joseph L Russo Doctor of Chiropractic PC's National Provider Identifier is 1295784288, issued on May 8, 2006. 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 Dec 3, 2012.