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Organization
PREMIUM CHIROPRACTIC
Active
Organization
PREMIUM CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND OMID DC (OWNER)
(516) 650-8136
Entity
Organization
Contact information
Practice address
901 STEWART AVE, SUITE 285, GARDEN CITY, NY 11530-4893
(516) 650-8136
Mailing address
901 STEWART AVE, SUITE 285, GARDEN CITY, NY 11530-4893
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
010158
NY
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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