495 Chiropractic, PC

NPI #1912241092 in Medford, New York

Provider Information

NPI Number: 1912241092
Entity Type: Organization
Organization Name: 495 Chiropractic, PC
Primary Specialty: Chiropractor
Enumeration Date: Nov 15, 2012
Last Updated: Nov 15, 2012

Practice Location

Address: 570 EXPRESSWAY DR S
Address 2: SUITE 2C
City: Medford
State: New York
ZIP Code: 11763-2049
Phone: (516) 319-3839

Authorized Official

Name: DR. RAYMOND PELLEGRINO, DC
Title: OWNER
Phone: (516) 319-3839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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