Lake Chiropractic, Pllc.
NPI #1972803104 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1972803104
- Entity Type
- Organization
- Organization Name
- Lake Chiropractic, Pllc.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 21, 2010
- Last Updated
- Oct 21, 2010
Practice Location
- Address
- 201 PORTION RD
- Address 2
- SUITE A
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-4172
- Phone
- (631) 981-1333
Authorized Official
- Name
- DR. RONALD ROBERT BERNARDINI, DC
- Title
- CHIROPRACTOR/ PRESIDENT
- Phone
- (631) 981-1333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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