# BARDONIA CHIROPRACTIC OFFICE, PLLC

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

## Provider details

- **NPI number:** 1427128628
- **Authorized official:** DR. PAUL MICHAEL LENTINI D.C. (OWNER)
- **Authorized official phone:** (845) 623-1558

## Contact information

- **Practice address:** 28 BARDONIA RD, BARDONIA, NY 10954-2123
- **Practice address phone:** (845) 623-1558
- **Practice address fax:** (845) 623-6437
- **Mailing address:** 28 BARDONIA RD, BARDONIA, NY 10954-2123
- **Mailing address phone:** (845) 623-1558
- **Mailing address fax:** (845) 623-6437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X007536 | NY | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 06/25/2008

## 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 | — |