Organization · NPI-2

Coastal Care Chiropractic

Chiropractor · Babylon, NY

NPI number1740460179
StatusActive
Last updated in NPPESMar 20, 2013

Details

NPI
1740460179
Entity type
Organization (NPI-2)
Legal business name
Coastal Care Chiropractic
Organization subpart
No
Enumeration date
Nov 14, 2007
Last updated
Mar 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractorx008493NYYes

Other names

  • Babylon Village Chiropractic (Doing Business As)

Practice location

170 E Main St
Babylon, NY 11702-3510

Phone 631-422-0022 · Fax 631-422-0051

Mailing address

170 E Main St
Babylon, NY 11702-3510

Phone 631-422-0022 · Fax 631-422-0051

Authorized official

Matthew Albert Alicanti
Chiropractor
6314220022

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