Individual provider · Type 1 NPI
John P. Russo, CHIROPRACTOR
Chiropractor · Malverne, NY
NPI number
1376515684
Active
Practice location
10 Broadway
Malverne, NY 11565
Fax (516) 599-5046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X0039471 (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.
Another provider at this address
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About NPI 1376515684
John P. Russo, CHIROPRACTOR's National Provider Identifier is 1376515684, issued on Feb 2, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Malverne, NY. The record was last updated on May 29, 2018.