Broadway Chiropractoc
Chiropractor in Lynbrook, NY. Organization (NPI-2).
NPI number1023219243
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1023219243
- Entity type
- Organization (NPI-2)
- Legal business name
- Broadway Chiropractoc
- Organization subpart
- No
- Enumeration date
- May 29, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | X002413-1 | NY | Yes |
Practice location
120 BroadwayLynbrook, NY 11563-3233
Phone 516-599-6100 · Fax 516-593-0406
Mailing address
120 BroadwayLynbrook, NY 11563-3233
Phone 516-599-6100 · Fax 516-593-0406
Authorized official
Lynnmarie Castellano
Office Manager
5165996100
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