Russo, Amanda B

Russo, Amanda B is an sole proprietor health care provider with primary practice located at 285 Terry Rd , Sayville NY 11782-3343. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Russo, Amanda B can be contacted via phone (631) 563-2225.

Contact Information

Primary practice address
285 Terry Rd Sayville NY 11782-3343
Phone: (631) 563-2225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X011982-1 New York

Profile Details

NPI number 1881999779
LBN Legal business name Russo, Amanda B
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2011
Last updated Oct 24th, 2012 - about 12 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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