# MOSELLE CHIROPRACTIC CENTER, PC

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

## Provider details

- **NPI number:** 1376661470
- **Authorized official:** BRUCE M MOSELLE DC (CHIROPRACTOR)
- **Authorized official phone:** (518) 615-0056

## Contact information

- **Practice address:** 5 SAGAMORE ST, SUITE B, GLENS FALLS, NY 12801-3115
- **Practice address phone:** (518) 615-0056
- **Practice address fax:** (518) 615-0059
- **Mailing address:** 5 SAGAMORE ST, SUITE B, GLENS FALLS, NY 12801-3115
- **Mailing address phone:** (518) 615-0056
- **Mailing address fax:** (518) 615-0059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X002086-1 | NY | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 09/10/2010