| |
7 Village Square, Glen Cove, NY 11542 | |
(516) 759-2032 | |
(516) 759-2117 |
Full Name | |
---|---|
Type | Facility |
Speciality | Neuromusculoskeletal Medicine & Omm |
Location | 7 Village Square, Glen Cove, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245318740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3702-1 (New York) | Secondary |
204D00000X | Neuromusculoskeletal Medicine & Omm | 299998-1 (New York) | Primary |
Mailing Address | Practice Location Address |
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7 Village Square, Glen Cove, NY 11542 Ph: (516) 759-2032 | 7 Village Square, Glen Cove, NY 11542 Ph: (516) 759-2032 |