# ASW CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1275005118
- **Authorized official:** MISS TINA SHALLONIS (BILLING MANAGER)
- **Authorized official phone:** (352) 399-5085

## Contact information

- **Practice address:** 13104 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-3124
- **Practice address phone:** (352) 399-5085
- **Practice address fax:** (866) 402-3481
- **Mailing address:** 5090 NE 124TH PL, OXFORD, FL 34484-9625
- **Mailing address phone:** (352) 399-5085
- **Mailing address fax:** (866) 402-3481

## Taxonomy

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

## Other

- **Enumeration date:** 12/17/2018
- **Last updated:** 12/17/2018