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Organization

NORTH ENDICOTT CHIROPRACTIC PC

Active
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Organization

NORTH ENDICOTT CHIROPRACTIC PC

Active
Other names
North Endicott Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL ADAM COOPER D.C. (CEO)
(607) 754-7669
Entity
Organization

Contact information

Practice address
817 PINE ST, ENDICOTT, NY 13760-2715
(607) 754-7669
Mailing address
817 PINE ST, ENDICOTT, NY 13760-2715
(607) 754-7669

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NI0013X
Independent Medical Examiner Chiropractor
—
—
111NN1001X
Nutrition Chiropractor
—
—
111NR0200X
Radiology Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
—

Other

Enumeration date
07/10/2010
Last updated
07/10/2010
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