Joseph L Russo Doctor Of Chiropractic Pc in Massapequa Park - Sports Physician
Joseph L Russo Doctor Of Chiropractic Pc - NPI 1295784288
Joseph L Russo Doctor Of Chiropractic Pc is a Sports Physician in Massapequa Park, New York. Joseph L Russo Doctor Of Chiropractic Pc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Joseph L Russo Doctor Of Chiropractic Pc is 1295784288. The last update date is 2012-12-03.
Joseph L Russo Doctor Of Chiropractic Pc's current location address is 500 Park Blvd, Massapequa Park, New York. You can contact this provider via phone number 5167988363 and fax number 5167988586. The mailing address for Joseph L Russo Doctor Of Chiropractic Pc is 500 Park Blvd, Massapequa Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Joseph L Russo Doctor Of Chiropractic Pc |
|---|---|
| Address | 500 Park Blvd, Massapequa Park, New York |
| Phone Number | 5167988363 |
| Fax Number | 5167988586 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Russo Louis Joseph |
| Credentials | DC |
| Telephone Number | 5167988363 |
NPI Number Detail
| NPI Number | 1295784288 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2012-12-03 |
Provider Mailing Address Detail
| Address | 500 Park Blvd |
|---|---|
| City | Massapequa Park |
| State | New York (NY) |
| Post Code | 117623042 |
| Phone Number | 5167988363 |
| Fax Number | 5167988586 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | X0003447 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique 10-digit identification code issued to Joseph L Russo Doctor Of Chiropractic Pc by the Centers for Medicare & Medicaid Services?
The Joseph L Russo Doctor Of Chiropractic Pc has been assigned the NPI (National Provider Identifier) 1295784288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Joseph L Russo Doctor Of Chiropractic Pc?
The Joseph L Russo Doctor Of Chiropractic Pc is situated at 500 Park Blvd, in the city of Massapequa Park, state of NY, with the zip code 117623042.
What is Joseph L Russo Doctor Of Chiropractic Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Joseph L Russo Doctor Of Chiropractic Pc's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
On what date did Joseph L Russo Doctor Of Chiropractic Pc receive its 1295784288 assignment from the Centers for Medicare & Medicaid Services?
The Joseph L Russo Doctor Of Chiropractic Pc was assigned its 1295784288 on 2006-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Joseph L Russo Doctor Of Chiropractic Pc's details last updated?
The information pertaining to the Joseph L Russo Doctor Of Chiropractic Pc, including its address, specialty, and other details, was most recently updated on 2012-12-03.