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John P Russo, CHIROPRACTOR
Chiropractor in Malverne, New York
NPI 1376515684

John P Russo is a Chiropractor based in Malverne, NY. John P Russo practices in Malverne, NY and has the professional credentials of CHIROPRACTOR. The NPI Number for John P Russo is 1376515684 and holds a License No. X0039471 (New York).

The current practice location address for John P Russo is 10 Broadway, Malverne, NY and can be reached out via phone at 516-599-2593 and via fax at 516-599-5046.

Location: 10 Broadway, Malverne, NY, 11565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376515684
Provider Name
John P Russo
Credential
CHIROPRACTOR
Provider Entity Type
Individual
Gender
Male
Address
10 Broadway, Malverne, NY, 11565
Phone Number
516-599-2593
Fax Number
516-599-5046
Provider Enumeration Date
02/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10 Broadway
City
Malverne
State
New York
Zip
11565
Phone Number
516-599-2593
Fax Number
516-599-5046
person
Provider Business Mailing Address Details
Address
10 Broadway
City
Malverne
State
New York
Zip
11565
Phone Number
516-599-2593
Fax Number
516-599-5046
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X0039471 (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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