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Organization
VATRA SPINA AND SPORT LLC
Active
Organization
VATRA SPINA AND SPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY TODD DC (OWNER)
(516) 432-2100
Entity
Organization
Contact information
Practice address
4454 AUSTIN BVLD., ISLAND PARK, NY 11558-1155
(516) 432-2100
Mailing address
4454 AUSTIN BVLD., ISLAND PARK, NY 11558
(516) 432-2100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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