# MARC AVVENTO DC PC

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

## Provider details

- **NPI number:** 1487888251
- **Authorized official:** DR. MARC AVVENTO D.C. (PRESDENT/ CLINIC DIRECTOR)
- **Authorized official phone:** (631) 744-2114

## Contact information

- **Practice address:** 691 ROUTE 25A, C/O THE BODY SHOP, MILLER PLACE, NY 11764-2643
- **Practice address phone:** (631) 744-2114
- **Practice address fax:** (631) 744-2114
- **Mailing address:** 691 ROUTE 25A, C/O THE BODY SHOP, MILLER PLACE, NY 11764-2643
- **Mailing address phone:** (631) 744-2114
- **Mailing address fax:** (631) 744-2114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | X011602-1 | NY | Yes |

## Other

- **Enumeration date:** 05/08/2009
- **Last updated:** 05/08/2009
