| Dr Brian James Di Russa, DC | |
|
80 Marys Ln, Southampton, NY 11968-5614 | |
| (631) 283-7474 | |
| (631) 283-7423 |
| Full Name | Dr Brian James Di Russa |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 80 Marys Ln, Southampton, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639243462 | NPI | - | NPPES |
| 5803948 | Other | NY | GHI PROVIDER NUMBER |
| 75723 | Other | NY | VYTRA HIP PROVIDER NUMBER |
| CO 7686-1 | Other | NY | WORKERS COMPENSATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X007686-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian James Di Russa, DC 80 Marys Ln, Southampton, NY 11968-5614 Ph: (631) 283-7474 | Dr Brian James Di Russa, DC 80 Marys Ln, Southampton, NY 11968-5614 Ph: (631) 283-7474 |
Susan D. Corwith, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 33 Flying Point Rd Ste 107, Southampton, NY 11968 Phone: 631-287-2896 Fax: 631-287-0965 | |
Michael C. Smatt, D.c., Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 33 Hill St, Southampton, NY 11968 Phone: 631-283-9303 Fax: 914-769-7555 | |
Dr. Frederick Jay Soroka, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 365 County Road 39a, Suite 15, Southampton, NY 11968 Phone: 631-702-2300 Fax: 631-702-2303 | |
Dr. Andrew Cohen, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 20 Hampton Rd, Southampton, NY 11968 Phone: 631-287-3546 | |
Brian Michael Barrett, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 176 N Sea Rd, Southampton, NY 11968 Phone: 631-283-5297 Fax: 631-283-5385 |