Mr. Carl James Russo Jr., DCSTUDENT
Mr. Carl James Russo Jr., DCSTUDENT is a Rehabilitation Chiropractor in Little Neck, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2009
Practice location Address checks out
24825 Northern Blvd 2DLittle Neck, NY 11362-1211
Phone: (917) 568-8617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Chiropractor (primary) | Taxonomy 111NR0400X · Licence X011856-1 (NY) |
|---|
Record details
| NPI number | 1952635328 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DCSTUDENT |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2009 |
| Last updated in NPPES | July 22, 2011 |