OrganizationActive
Joseph L Russo Doctor of Chiropractic PC
NPI 1295784288 · Sports Physician Chiropractor · Massapequa Park, NY
Provider details
- NPI number
- 1295784288
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Authorized official
- Joseph Russo, President
- License
- X0003447 (NY)
Practice location
500 Park Blvd
Massapequa Park, NY 11762-3042
Phone: (516) 798-8363
Fax: (516) 798-8586
Mailing address
500 Park Blvd
Massapequa Park, NY 11762-3042
Registry dates
- Enumerated
- 2006-05-08
- Last updated
- 2012-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.