# ADVANCED MUA CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1124333240
- **Authorized official:** DR. ROBERT SUPER DC (PRESIDENT)
- **Authorized official phone:** (516) 307-1345

## Contact information

- **Practice address:** 595 STEWART AVE, SUITE 750, GARDEN CITY, NY 11530-4787
- **Practice address phone:** (516) 307-1345
- **Mailing address:** 595 STEWART AVE, SUITE 750, GARDEN CITY, NY 11530-4787
- **Mailing address phone:** (516) 307-1345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009043 | NY | Yes |

## Other

- **Enumeration date:** 08/12/2010
- **Last updated:** 08/12/2010