# CANCELLIERI CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1063672699
- **Authorized official:** ANGELA M CANCELLIERI DC (OWNER)
- **Authorized official phone:** (631) 673-6464

## Contact information

- **Practice address:** 900 WALT WHITMAN RD, STE 100, MELVILLE, NY 11747
- **Practice address phone:** (631) 673-6464
- **Practice address fax:** (631) 673-6488
- **Mailing address:** 900 WALT WHITMAN RD, STE 100, MELVILLE, NY 11747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X005472 1 | NY | Yes |

## Other

- **Enumeration date:** 06/17/2008
- **Last updated:** 06/17/2008