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Organization
STEPHEN PRUDEN DC LLC
Active
Organization
STEPHEN PRUDEN DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JOSEPH PRUDEN DC (CHIROPRACTOR)
(516) 626-3965
Entity
Organization
Contact information
Practice address
55 BRYANT AVE, 2ND FLOOR, ROSLYN, NY 11576-1137
(516) 626-3965
(516) 625-7701
Mailing address
55 BRYANT AVE, 2ND FLOOR, ROSLYN, NY 11576-1137
(516) 626-3965
(516) 625-7701
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X004234-1
NY
Other
Enumeration date
09/13/2006
Last updated
10/17/2007
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