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Organization
SUFFOLK FAMILY CHIROPRACTIC, P.C.
Active
Organization
SUFFOLK FAMILY CHIROPRACTIC, P.C.
Active
Other names
BACK TO LIFE CHIROPRACTIC SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FERNANDEZ D.C. (PRESIDENT)
(718) 424-4455
Entity
Organization
Contact information
Practice address
4322 50TH ST, SUITE 1-B, WOODSIDE, NY 11377-4442
(718) 424-4455
(718) 478-8672
Mailing address
4322 50TH ST, SUITE 1-B, WOODSIDE, NY 11377-4442
(718) 424-4455
(718) 478-8672
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
C-007735-6B
NY
111NN0400X
Neurology Chiropractor
C-007735-6B
NY
111NS0005X
Sports Physician Chiropractor
C-007735-6B
NY
111NX0800X
Orthopedic Chiropractor
Primary
C-007735-6B
NY
Other
Enumeration date
04/03/2007
Last updated
09/11/2025
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