# JLS CHIROPRACTIC P.C.

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

## Provider details

- **NPI number:** 1528293099
- **Authorized official:** DR. JOSEPH STEPHAN D.C. (OWNER)
- **Authorized official phone:** (516) 652-7336

## Contact information

- **Practice address:** 42 RICHARD ST, FARMINGDALE, NY 11735-3611
- **Practice address phone:** (516) 652-7336
- **Mailing address:** 42 RICHARD ST, FARMINGDALE, NY 11735-3611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X008397 | NY | Yes |

## Other

- **Enumeration date:** 05/27/2009
- **Last updated:** 08/23/2012