# MT CHIROPRACTIC, P.C.

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

## Provider details

- **NPI number:** 1366787665
- **Authorized official:** DR. MARK TISCHLER DC (OWNER)
- **Authorized official phone:** (631) 438-0355

## Contact information

- **Practice address:** 570 EXPRESSWAY DR S, 2C, MEDFORD, NY 11763-2049
- **Practice address phone:** (631) 438-0355
- **Practice address fax:** (631) 438-0356
- **Mailing address:** 570 EXPRESSWAY DR S, 2C, MEDFORD, NY 11763-2049
- **Mailing address phone:** (631) 438-0355
- **Mailing address fax:** (631) 438-0356

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2012
- **Last updated:** 11/28/2012