Full Stride Spine & Sport

NPI #1043842362 in Bohemia, New York

Provider Information

NPI Number: 1043842362
Entity Type: Organization
Organization Name: Full Stride Spine & Sport
Primary Specialty: Chiropractor
Enumeration Date: Feb 5, 2020
Last Updated: Feb 5, 2020

Practice Location

Address: 150 KNICKERBOCKER AVE STE F
City: Bohemia
State: New York
ZIP Code: 11716-3163
Phone: (845) 238-9651

Authorized Official

Name: STEVEN PUNGELLO
Title: CHIROPRACTOR
Phone: (845) 238-9651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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