Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John P Russo, CHIROPRACTOR

Individual provider Chiropractor · NPI 1376515684

John P Russo, CHIROPRACTOR is a Chiropractic in Malverne, New York. Graduated from New York Chiropractic College in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
42
Trained at
New York Chiropractic College
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

10 Broadway
Malverne, NY 11565
Phone: (516) 599-2593
Fax: (516) 599-5046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence X0039471 (NY)

Record details

NPI number1376515684
Entity typeIndividual (Type 1)
GenderMale
Credentials CHIROPRACTOR
Sole proprietorYes
NPI enumeratedFebruary 2, 2006
Last updated in NPPESMay 29, 2018
Mailing address10 Broadway, Malverne, NY 11565

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNEW YORK CHIROPRACTIC COLLEGE
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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