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3002 N Township Blvd, Pittston Twp, PA 18640-3554 | |
(570) 602-1590 | |
(570) 602-1592 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 3002 N Township Blvd, Pittston Twp, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1437334075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | DC008816 (Pennsylvania) | Primary |
Provider Name | Nicole J Ferentino |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558402396 PECOS PAC ID: 6305873605 Enrollment ID: I20050726000302 |
Mailing Address | Practice Location Address |
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3002 N Township Blvd, Pittston Twp, PA 18640-3554 Ph: (570) 602-1590 | 3002 N Township Blvd, Pittston Twp, PA 18640-3554 Ph: (570) 602-1590 |
Dr. Nicole J Linskey Ferentino, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3002 N Twp Blvd, Pittston Twp, Pittston Twp, PA 18640 Phone: 570-602-1590 Fax: 570-602-1592 |