# ACTIVE AND WELL FAMILY CHIROPRACTIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265749204
- **Authorized official:** LISA CAMPIONE D.C. (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (518) 705-9355

## Contact information

- **Practice address:** 131 E STATE ST, GLOVERSVILLE, NY 12078-1205
- **Practice address phone:** (518) 725-9355
- **Practice address fax:** (518) 725-9365
- **Mailing address:** 131 E STATE ST, GLOVERSVILLE, NY 12078-1205
- **Mailing address phone:** (518) 725-9355
- **Mailing address fax:** (518) 725-9365

## Taxonomy

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

## Other

- **Enumeration date:** 09/13/2010
- **Last updated:** 09/13/2010