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Organization
BARDONIA CHIROPRACTIC OFFICE, PLLC
Active
Organization
BARDONIA CHIROPRACTIC OFFICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MICHAEL LENTINI D.C. (OWNER)
(845) 623-1558
Entity
Organization
Contact information
Practice address
28 BARDONIA RD, BARDONIA, NY 10954-2123
(845) 623-1558
(845) 623-6437
Mailing address
28 BARDONIA RD, BARDONIA, NY 10954-2123
(845) 623-1558
(845) 623-6437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007536
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113423471
ICM ID
—
01
—
4575780
AETNA ID
—
01
—
5803795
GHI ID
—
01
—
7145443002
CIGNA ID
—
01
—
P3890540
OXFORD ID
—
01
—
X007536
NY LICENSE
NY
01
—
XCWJH
EMPIRE BLUE CROSS SHIELD
—
Enumeration date
11/08/2006
Last updated
06/25/2008
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