# FAMILY CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charles A. Fundaro DC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285769828
- **Authorized official:** DR. CHARLES A. FUNDARO D.C. (CLINIC DIRECTOR)
- **Authorized official phone:** (718) 236-6177

## Contact information

- **Practice address:** 1850-82 STREET, SUITE L-2, BROOKLYN, NY 11214-2264
- **Practice address phone:** (718) 236-6177
- **Practice address fax:** (718) 236-6178
- **Mailing address:** 1850-82 STREET, SUITE L-2, BROOKLYN, NY 11214-2264
- **Mailing address phone:** (718) 236-6177
- **Mailing address fax:** (718) 236-6178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X003524-1 | NY | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 08/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CO3524-8B | NYS WORKER'S COMPENSATION | NY |
