# 516 CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1154836096
- **Authorized official:** DR. NICHOLAS F AMICO DC (PRESIDENT)
- **Authorized official phone:** (516) 747-0078

## Contact information

- **Practice address:** 486 WILLIS AVE, WILLISTON PARK, NY 11596-1737
- **Practice address phone:** (516) 747-0078
- **Mailing address:** 486 WILLIS AVE, WILLISTON PARK, NY 11596-1737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X010469 | NY | Yes |

## Other

- **Enumeration date:** 12/13/2017
- **Last updated:** 12/13/2017
