Islip Chiropractic Pc

NPI 1114271756 - Chiropractor - 111N00000X

NPI Details
NPI 1114271756
Enumeration Date 11/05/2012
Last Updated 01/19/2016
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LAURA LAURA
Position OWNER
Phone (631) 647-8324
Fax (631) 647-8324
Practice Location
99 E MAIN ST
SUITE 2
EAST ISLIP NY, 11730-2538, US
Phone (631) 647-8324
Fax (631) 647-8324
Business Location
PO BOX 27
ISLIP NY, 11751-0027, US
Phone (631) 647-8324
Fax (631) 647-8324
Toxanomy
Taxonomy Code 111N00000X
License State New York
License Number 010865
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According to our database, Islip Chiropractic Pc NPI is 1114271756, taxonomy code is 111N00000X and license number is 010865, license state is located at New York. Islip Chiropractic Pc physically located at 99 E Main St, East Islip NY, 11730-2538. NPI Number 1033115704 has the healthcare provider type.

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1114271756 NPI number is provided on an as is basis without warranty of any kind. 1114271756 is maintained by the National Plan & Provider Enumeration System. The contents of Islip Chiropractic Pc are for informational purposes only.