3 Village Chiropractic Pllc

NPI #1720375488 in Setauket, New York

Provider Information

NPI Number: 1720375488
Entity Type: Organization
Organization Name: 3 Village Chiropractic Pllc
Primary Specialty: Chiropractor
Enumeration Date: Jul 1, 2011
Last Updated: Jul 15, 2011

Practice Location

Address: 128 OLD TOWN RD
Address 2: SUITE C
City: Setauket
State: New York
ZIP Code: 11733-2064
Phone: (631) 675-2910

Authorized Official

Name: DR. BRIAN SCOTT ROTH, D.C.
Title: CEO
Phone: (631) 675-2910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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