Port Jefferson Chiropractic Office PC

NPI #1174820120 in Setauket, New York

Provider Information

NPI Number: 1174820120
Entity Type: Organization
Organization Name: Port Jefferson Chiropractic Office PC
Primary Specialty: Chiropractor
Enumeration Date: Feb 26, 2011
Last Updated: Feb 26, 2011

Practice Location

Address: 416 ROUTE 25A
City: Setauket
State: New York
ZIP Code: 11733-3841
Phone: (631) 751-7700

Authorized Official

Name: MICHAEL HORNEY, DC
Title: SOLE OWNER OF CORPORATION
Phone: (631) 751-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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