# 5509 CHIROPRACTIC IMAGING P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Massapequa Diagnostic Imaging Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548792567
- **Authorized official:** DR. JOHN JOSEPH MILONE II D.C. (PRESIDENT)
- **Authorized official phone:** (516) 852-3176

## Contact information

- **Practice address:** 5509 MERRICK RD, MASSAPEQUA, NY 11758-6215
- **Practice address phone:** (516) 852-3176
- **Practice address fax:** (516) 549-5034
- **Mailing address:** 5509 MERRICK RD, MASSAPEQUA, NY 11758-6215
- **Mailing address phone:** (516) 852-3176
- **Mailing address fax:** (516) 549-5034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | X008298-1 | NY | Yes |

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 03/29/2017