Joseph L Russo Doctor Of Chiropractic Pc | |
500 Park Blvd, Massapequa Park, NY 11762-3042 | |
(516) 798-8363 | |
(516) 798-8586 |
Full Name | Joseph L Russo Doctor Of Chiropractic Pc |
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Type | Facility |
Speciality | Chiropractor - Sports Physician |
Location | 500 Park Blvd, Massapequa Park, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1295784288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NS0005X | Chiropractor - Sports Physician | X0003447 (New York) | Primary |
Provider Name | Joseph L Russo |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1053393884 PECOS PAC ID: 5799796611 Enrollment ID: I20060508000164 |
Mailing Address | Practice Location Address |
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Joseph L Russo Doctor Of Chiropractic Pc 500 Park Blvd, Massapequa Park, NY 11762-3042 Ph: (516) 798-8363 | Joseph L Russo Doctor Of Chiropractic Pc 500 Park Blvd, Massapequa Park, NY 11762-3042 Ph: (516) 798-8363 |
Dr. Joseph Louis Russo, CHIROPRACTOR Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 500 Park Blvd, Massapequa Park, NY 11762 Phone: 516-798-8363 Fax: 516-798-8586 | |
Dr. David Kommor, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 120 Moore Ave, Massapequa Park, NY 11762 Phone: 516-541-1313 | |
Dr. Stephen Martucci, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 125 Beverly Ave, Massapequa Park, NY 11762 Phone: 516-795-7900 Fax: 516-795-8861 |