# BRENT CITY CHIROPRACTIC LLP

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

## Provider details

- **NPI number:** 1275797045
- **Authorized official:** DR. GREGORY N BONASERA (DOCTOR)
- **Authorized official phone:** (631) 445-1011

## Contact information

- **Practice address:** 1799 BRENTWOOD RD, BRENTWOOD, NY 11717-4611
- **Practice address phone:** (631) 434-6685
- **Mailing address:** 1799 BRENTWOOD RD, BRENTWOOD, NY 11717-4611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X005301 | NY | Yes |

## Other

- **Enumeration date:** 07/11/2008
- **Last updated:** 07/11/2008