# GROVE STREET CHIROPRACTIC, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013068170
- **Authorized official:** DR. LEE MCGUNNIGLE DC (OWNDER)
- **Authorized official phone:** (518) 589-5060

## Contact information

- **Practice address:** ROUTE 23 A, TANNERSVILLE, NY 12485
- **Practice address phone:** (518) 589-5060
- **Practice address fax:** (518) 589-5470
- **Mailing address:** BOX 83, TANNERSVILLE, NY 12485
- **Mailing address phone:** (518) 589-5060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 09/29/2008