East End Sports Chiropractic, PC

NPI #1215280276 in Sag Harbor, New York

Provider Information

NPI Number
1215280276
Entity Type
Organization
Organization Name
East End Sports Chiropractic, PC
Primary Specialty
Chiropractor - Sports Physician
Enumeration Date
Oct 16, 2012
Last Updated
Oct 16, 2012

Practice Location

Address
39 DIVISION ST
Address 2
GROUND FLR, 2ND OFFC FROM REAR
ZIP Code
11963-3156
Phone
(631) 725-8209

Authorized Official

Name
DR. STEPHEN JAMES PETRUCCELLI, D.C.
Title
CHIROPRACTOR/OWNER
Phone
(631) 725-8209

Specialties & Taxonomy Codes

Specialty
Chiropractor - Sports PhysicianSports Physician

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