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Organization

PORT JEFFERSON CHIROPRACTIC OFFICE PC

Active
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Organization

PORT JEFFERSON CHIROPRACTIC OFFICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL HORNEY DC (SOLE OWNER OF CORPORATION)
(631) 751-7700
Entity
Organization

Contact information

Practice address
416 ROUTE 25A, SETAUKET, NY 11733-3841
(631) 751-7700
(631) 751-7096
Mailing address
416 ROUTE 25A, SETAUKET, NY 11733-3841
(631) 751-7700
(631) 751-7096

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X002824
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01738370
NY
Enumeration date
02/26/2011
Last updated
02/26/2011
About Stedi
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  • EDI platform