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Cafe Of Life Chiropractic

Chiropractor in Bellmore, NY. Organization (NPI-2).

NPI number1003976366
StatusActive
Last updated in NPPESMar 20, 2008

Details

NPI
1003976366
Entity type
Organization (NPI-2)
Legal business name
Cafe Of Life Chiropractic
Organization subpart
No
Enumeration date
Dec 9, 2006
Last updated
Mar 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorX011276NYYes

Practice location

2439 Grand Ave
Bellmore, NY 11710-3547

Phone 516-425-0113

Mailing address

Po Box 32
Bellmore, NY 11710-0032

Phone 516-425-0113

Authorized official

Joshua E Siegel
Owner
5164250113

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