| Mr Carl James Russo Jr, DC STUDENT | |
|
24825 Northern Blvd, 2d, Little Neck, NY 11362-1211 | |
| (917) 568-8617 | |
| Not Available |
| Full Name | Mr Carl James Russo Jr |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Rehabilitation |
| Location | 24825 Northern Blvd, Little Neck, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952635328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | X011856-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Carl James Russo Jr, DC STUDENT 6712 164th St, 1d, Fresh Meadows, NY 11365-3172 Ph: (917) 568-8617 | Mr Carl James Russo Jr, DC STUDENT 24825 Northern Blvd, 2d, Little Neck, NY 11362-1211 Ph: (917) 568-8617 |
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