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Jonathan Shea Degorter, D.C.

Chiropractor in Syosset, NY. Individual provider (NPI-1).

NPI number1053657643
StatusActive
Last updated in NPPESMar 10, 2022

Details

NPI
1053657643
Entity type
Individual (NPI-1)
Name
Jonathan Shea Degorter
Credential
D.C.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 31, 2012
Certification date
Mar 10, 2022
Last updated
Mar 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorX012214-1NYYes

Practice location

99 Cold Spring Rd Ste 102a
Syosset, NY 11791-3140

Phone 516-921-1295 · Fax 516-496-2860

Mailing address

99 Cold Spring Rd Ste 102a
Syosset, NY 11791-3140

Phone 516-921-1295 · Fax 516-496-2860

Other practice locations

33 Queens St
Syosset, NY 11791-3063

Phone 516-921-1295 · Fax 516-496-2860

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