# GREAT SOUTH BAY CHIROPRACTIC OFFICE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANDREW S FARRAGO
- **Other names:** Andrew S Farrago
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235817313
- **Legal business name:** ANDREW S FARRAGO
- **Authorized official:** ANDREW SCOTT FARRAGO DC (OWNER)
- **Authorized official phone:** (631) 289-6767

## Contact information

- **Practice address:** 105 MEDFORD AVE, PATCHOGUE, NY 11772-1223
- **Practice address phone:** (631) 289-6767
- **Practice address fax:** (631) 289-6790
- **Mailing address:** 105 MEDFORD AVE, PATCHOGUE, NY 11772-1223
- **Mailing address phone:** (631) 289-6767
- **Mailing address fax:** (631) 289-6790

## Taxonomy

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

## Other

- **Enumeration date:** 07/07/2023
- **Last updated:** 11/25/2024