Koutrouby, Russell

Koutrouby, Russell is an sole proprietor health care provider with primary practice located at 220 Fort Salonga Road , Northport NY 11768. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Mechanotherapist. Other Service Providers / Acupuncturist is his primary health care specialty. Koutrouby, Russell can be contacted via phone (631) 757-2688.

Contact Information

Primary practice address
220 Fort Salonga Road Northport NY 11768
Phone: (631) 757-2688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 2125 New York
Other Service Providers / Mechanotherapist 172M00000X 8054 New York

Profile Details

NPI number 1487872479
LBN Legal business name Koutrouby, Russell
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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