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Organization
PAUL M VASSA DC PC
Active
Organization
PAUL M VASSA DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M VASSA DC (CHIROPRACTOR)
(631) 368-4172
Entity
Organization
Contact information
Practice address
485 N OCEAN AVE, PATCHOGUE, NY 11772-1762
(631) 475-0353
(631) 475-0399
Mailing address
1187 5TH AVE, EAST NORTHPORT, NY 11731-2632
(631) 368-4172
(631) 475-0399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008693
NY
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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