MR. RUSSELL KOUTROUBY, LAC
Mechanotherapist
Active
Individual
NPI: 1487872479
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Acupuncturist | 171100000X | No | 2125 (NY) |
| Mechanotherapist | 172M00000X | Yes | 8054 (NY) |
Frequently Asked Questions
NPI 1487872479 is the National Provider Identifier for MR. RUSSELL KOUTROUBY, LAC, a Mechanotherapist provider located in Northport, NY. This NPI was enumerated on April 23, 2007.
MR. RUSSELL KOUTROUBY, LAC practices at 220 FORT SALONGA ROAD, Northport, NY 11768.
Quick Facts
- NPI
- 1487872479
- Type
- Individual
- Enumerated
- Apr 23, 2007
- Last Updated
- Sep 11, 2025
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