# ABA CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1104266410
- **Authorized official:** RITA BANGY (MEDICAL BILLER)
- **Authorized official phone:** (718) 454-4356

## Contact information

- **Practice address:** 10408 ROOSEVELT AVE, CORONA, NY 11368-2328
- **Practice address phone:** (718) 426-6500
- **Practice address fax:** (718) 426-6501
- **Mailing address:** 10408 ROOSEVELT AVE, CORONA, NY 11368-2328
- **Mailing address phone:** (718) 426-6500
- **Mailing address fax:** (718) 426-6501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X010303 | NY | Yes |

## Other

- **Enumeration date:** 07/01/2013
- **Last updated:** 07/01/2013