# 5-STAR CHIROPRACTIC SERVICES, PC

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

## Provider details

- **NPI number:** 1295075505
- **Authorized official:** DR. ALLAN WATTENMAKER DC (PRES/OWNER)
- **Authorized official phone:** (914) 646-6893

## Contact information

- **Practice address:** 56 QUARRY LN, BEDFORD, NY 10506-1539
- **Practice address phone:** (914) 646-6893
- **Mailing address:** 56 QUARRY LN, BEDFORD, NY 10506-1539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 9236 | NY | Yes |

## Other

- **Enumeration date:** 02/22/2013
- **Last updated:** 02/22/2013
