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Organization
MRNN CHIROPRACTIC & PHYSICAL THERAPY PLLC
Active
Organization
MRNN CHIROPRACTIC & PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NESTOR NICOLAIDES DC (MANAGING PARTNER)
(516) 705-5600
Entity
Organization
Contact information
Practice address
30 S OCEAN AVE RM 102, FREEPORT, NY 11520-3550
(516) 705-5600
Mailing address
30 S OCEAN AVE RM 102, FREEPORT, NY 11520-3550
(516) 705-5600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/21/2022
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