Russo, Randolph Joseph

Russo, Randolph Joseph is an individual health care provider with primary practice located at 16 Squadron Blvd Ste 102, New City NY 10956-5268. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Russo, Randolph Joseph can be contacted via phone (845) 634-2225.

Contact Information

Primary practice address
16 Squadron Blvd Ste 102 New City NY 10956-5268
Phone: (845) 634-2225
Fax: (845) 634-2227
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X008265-1 New York

Profile Details

NPI number 1073697637
LBN Legal business name Russo, Randolph Joseph
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 25th, 2023 - about last year

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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