# ENVISION WELLNESS CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1053818369
- **Authorized official:** DR. FREDERICK TINARI DC (PRES./OWNER)
- **Authorized official phone:** (631) 467-8224

## Contact information

- **Practice address:** 1461 LAKELAND AVE, SUITE 9, BOHEMIA, NY 11716
- **Practice address phone:** (631) 467-8224
- **Practice address fax:** (631) 585-7575
- **Mailing address:** 1461 LAKELAND AVE, SUITE 9, BOHEMIA, NY 11716
- **Mailing address phone:** (631) 467-8224
- **Mailing address fax:** (631) 585-7575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | X003397-1 | NY | Yes |

## Other

- **Enumeration date:** 04/12/2018
- **Last updated:** 10/20/2022