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Organization
ISLAND LIFE CHIROPRACTIC PAIN CARE PLLC
Active
Organization
ISLAND LIFE CHIROPRACTIC PAIN CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN THOMAS MOLLO DC (OWNER)
(631) 940-8739
Entity
Organization
Contact information
Practice address
2100 DEER PARK AVE, SUITE 8, DEER PARK, NY 11729-2119
(631) 940-8739
(631) 940-8740
Mailing address
2100 DEER PARK AVE, SUITE 8, DEER PARK, NY 11729-2119
(631) 940-8739
(631) 940-8740
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009495
NY
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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