Chiropractic of Stony Brook Pllc
NPI #1891838538 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1891838538
- Entity Type
- Organization
- Organization Name
- Chiropractic of Stony Brook Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Jan 22, 2019
Practice Location
- Address
- 1041 ROUT 112
- State
- New York
- ZIP Code
- 11776
- Phone
- (631) 828-4545
Authorized Official
- Name
- DR. GREGORY N. BONASERA, D.C.
- Title
- MEMBER
- Phone
- (631) 828-4545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Clinic/Center |
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