| George Russell, DC | |
|
101 5th Ave, Suite 10c, New York, NY 10003-1023 | |
| (646) 654-9529 | |
| (212) 488-2121 |
| Full Name | George Russell |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 101 5th Ave, New York, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205038932 | NPI | - | NPPES |
| 562587529 0000 | Other | PA | CIGNA HEALTHCARE INC. |
| P3695979 | Other | CT | OHI INC. (OXFORD) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X009793-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| George Russell, DC 101 5th Ave, Suite 10c, New York, NY 10003-1023 Ph: (646) 654-9529 | George Russell, DC 101 5th Ave, Suite 10c, New York, NY 10003-1023 Ph: (646) 654-9529 |
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