Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARL JAMES RUSSO JR., DC STUDENT
Active Sole ProprietorMR. CARL JAMES RUSSO JR., DC STUDENT is a Rehabilitation (Chiropractor) healthcare provider located in LITTLE NECK, New York. NPI 1952635328 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation (Chiropractor) · LITTLE NECK, NY
Registration Details
- NPI Number
- 1952635328
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2009 (16.896976926375 yrs)
- Last Updated
- Jul 22, 2011
- License
-
X011856-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24825 NORTHERN BLVD2DLITTLE NECK, NY, 113621211Browse NY providers · Browse ZIP 11362
- Phone
- 9175688617
- Primary Specialty
-
Rehabilitation (Chiropractor)
111NR0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.