| North Shore Chiropractic P.c. | |
|
298 Canal Rd, Port Jefferson Station, NY 11776-3040 | |
| (631) 928-0192 | |
| (631) 928-0253 |
| Full Name | North Shore Chiropractic P.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 298 Canal Rd, Port Jefferson Station, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598982373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X-006475 (New York) | Primary |
| Provider Name | Gary Dibenedetto |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790890580 PECOS PAC ID: 8628250024 Enrollment ID: I20110307000405 |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Chiropractic P.c. 298 Canal Rd, Port Jefferson Station, NY 11776-3040 Ph: (631) 928-0192 | North Shore Chiropractic P.c. 298 Canal Rd, Port Jefferson Station, NY 11776-3040 Ph: (631) 928-0192 |
Mr. Paul David Ravener, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 298 Canal Rd., Port Jefferson Station, NY 11776 Phone: 631-928-0192 Fax: 631-928-0253 | |
In Motion Chiropractic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 59 Dorothy St, Port Jefferson Station, NY 11776 Phone: 888-959-0712 Fax: 888-959-0712 | |
Thomas Anthony Fiordalisi, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 671 Old Town Rd, Port Jefferson Station, NY 11776 Phone: 631-642-2388 Fax: 631-642-2011 | |
Pure Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 671 Old Town Rd, Port Jefferson Station, NY 11776 Phone: 631-642-2388 | |
Dr. Lisa Ann Lepore, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18 Andover Dr, Port Jefferson Station, NY 11776 Phone: 631-474-1743 Fax: 631-474-1770 | |
Dr. Sophia Vivian Lin, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 379 Old Town Rd, Port Jefferson Station, NY 11776 Phone: 631-680-7368 | |
Sophia A Argeropoulos Dc Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 9 Roosevelt Ave, Port Jefferson Station, NY 11776 Phone: 631-473-8182 Fax: 631-473-8182 |