# IAMMATTEO FAMILY CHIROPRACTIC PLLC

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

## Provider details

- **NPI number:** 1275880106
- **Authorized official:** DR. LAURENE T. IAMMATTEO D.C. (DOCTOR OF CHIROPRACTIC)
- **Authorized official phone:** (845) 421-3997

## Contact information

- **Practice address:** 9 RONALD REAGAN BLVD, WARWICK, NY 10990-4115
- **Practice address phone:** (845) 421-3997
- **Mailing address:** 9 RONALD REAGAN BLVD, WARWICK, NY 10990-4115
- **Mailing address phone:** (845) 421-3997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X008087-1 | NY | Yes |

## Other

- **Enumeration date:** 08/09/2012
- **Last updated:** 07/18/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01751091 | — | NY |