Russo, Joseph Louis

Russo, Joseph Louis is an sole proprietor health care provider with primary practice located at 500 Park Blvd , Massapequa Park NY 11762-2742. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Russo, Joseph Louis can be contacted via phone (516) 798-8363.

Contact Information

Primary practice address
500 Park Blvd Massapequa Park NY 11762-2742
Phone: (516) 798-8363
Fax: (516) 798-8586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X X00003447 New York

Profile Details

NPI number 1053393884
LBN Legal business name Russo, Joseph Louis
Credentials CHIROPRACTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2005
Last updated Oct 10th, 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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