NPI | 1700330354 |
---|---|
Doing Business As | DR. RANDY RUSSO CHIROPRACTIC HEALTH P.C. |
Entity Type | Organization |
Authorized Contact | RANDOLPH J RUSSO President 914-419-0172 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X008265) |
Enumeration Date | 2016-08-12 |
Last Update Date | 2016-08-12 |