# NORTH ENDICOTT CHIROPRACTIC PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Endicott Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538471289
- **Authorized official:** DR. SAMUEL ADAM COOPER D.C. (CEO)
- **Authorized official phone:** (607) 754-7669

## Contact information

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

## Taxonomy

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