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Organization
WOODHAVEN PARK CHIROPRACTIC
Active
Organization
WOODHAVEN PARK CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LATONA (OWNER)
(718) 847-2326
Entity
Organization
Contact information
Practice address
2 ROSES CT, DIX HILLS, NY 11746-4874
(631) 462-0670
Mailing address
9309 91ST AVE, WOODHAVEN, NY 11421-2745
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X3747
NY
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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