person
Dr. Michael Scott Russo, DC
Chiropractor in Rockville Centre, New York
NPI 1164465571

Michael Scott Russo is a Chiropractor based in Rockville Centre, NY. Michael Scott Russo practices in Rockville Centre, NY and has the professional credentials of DC. The NPI Number for Michael Scott Russo is 1164465571 and holds a License No. X006933 (New York).

The current practice location address for Michael Scott Russo is 100 N Centre Ave, Rockville Centre, NY and can be reached out via phone at 516-763-2600 and via fax at 516-763-4218.

Location: 100 N Centre Ave, Rockville Centre, NY, 11570-3937
person
Provider Profile Details
NPI Number
1164465571
Provider Name
Michael Scott Russo
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
100 N Centre Ave, Rockville Centre, NY, 11570-3937
Phone Number
516-763-2600
Fax Number
516-763-4218
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
322612 01 NY ACN GROUP ID#
0002357 01 NY SELECT PRO ID#
5303872 01 NY GHI / ALIGNIS ID#
P744425 01 NY OXFORD ID #
1C9303 01 NY HEALTHNET ID#
NY06933 01 NY LANDMARK HC ID#
1295243 01 NY UNITED HEALTHCARE ID#
63503 01 NY VYTRA ID#
5597187 01 NY AETNA ID #
P62591639 01 NY MULTIPLAN ID#
CO6933-8 01 NY NYS WORK COMP #
institution
Provider Business Practice Location Address Details
Address
100 N Centre Ave
City
State
Zip
11570-3937
Phone Number
516-763-2600
Fax Number
516-763-4218
person
Provider Business Mailing Address Details
Address
100 N Centre Ave
City
State
Zip
11570-3937
Phone Number
516-763-2600
Fax Number
516-763-4218
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
X006933 (New York)
Definition
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.
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