# MOMENTUM CHIROPRACTIC, PC

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

## Provider details

- **NPI number:** 1063692630
- **Authorized official:** DR. STANLEY S. ANDERSON D.C. (PRESIDENT)
- **Authorized official phone:** (516) 377-7213

## Contact information

- **Practice address:** 24 W MERRICK RD, FREEPORT, NY 11520-3827
- **Practice address phone:** (516) 377-7213
- **Mailing address:** 24 W MERRICK RD, FREEPORT, NY 11520-3827
- **Mailing address phone:** (516) 377-7213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X005743 | NY | Yes |

## Other

- **Enumeration date:** 11/12/2007
- **Last updated:** 11/12/2007