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Commack Chiropractic, PC

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

NPI number1669969408
StatusActive
Last updated in NPPESApr 17, 2018

Details

NPI
1669969408
Entity type
Organization (NPI-2)
Legal business name
Commack Chiropractic, PC
Organization subpart
No
Enumeration date
Apr 17, 2018
Last updated
Apr 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorX004613-1NYYes

Practice location

2171 Jericho Tpke Ste 131
Commack, NY 11725-2900

Phone 631-462-6565 · Fax 631-462-6018

Mailing address

2171 Jericho Tpke Ste 131
Commack, NY 11725-2900

Phone 631-462-6565 · Fax 631-462-6018

Authorized official

Sharon Ann Ostermeir
Owner/President
6314626565

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