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Organization
LONG ISLAND CHIROPRACTIC AND SPORTS THERAPY, P.C.
Active
Organization
LONG ISLAND CHIROPRACTIC AND SPORTS THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK MANDARINO (PRESIDENT)
(917) 538-7293
Entity
Organization
Contact information
Practice address
279 BURNSIDE AVE, LAWRENCE, NY 11559-1112
(917) 538-7293
Mailing address
6934 59TH DR, MASPETH, NY 11378-2918
(917) 538-7293
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006608-1
NY
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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