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Organization
STRUCTURE PRO CHIROPRACTIC P.C.
Active
Organization
STRUCTURE PRO CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD GREEN D.C. (OWNER)
(631) 440-1589
Entity
Organization
Contact information
Practice address
2805 VETERANS MEMORIAL HWY, #8, RONKONKOMA, NY 11779-7647
(631) 440-1589
Mailing address
2805 VETERANS MEMORIAL HWY, #8, RONKONKOMA, NY 11779-7647
(631) 440-1589
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007953
NY
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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