Ronkonkoma Chiropractic PC
NPI #1649620709 in Ronkonkoma, New York
Provider Information
- NPI Number
- 1649620709
- Entity Type
- Organization
- Organization Name
- Ronkonkoma Chiropractic PC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jun 20, 2016
- Last Updated
- Jul 28, 2016
Practice Location
- Address
- 3075 VETERANS MEMORIAL HWY
- City
- Ronkonkoma
- State
- New York
- ZIP Code
- 11779-7667
- Phone
- (631) 472-2696
Authorized Official
- Name
- DR. EUGENE RUSSELL FAILLACE, DC
- Title
- PRESIDENT
- Phone
- (631) 472-2696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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