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Organization
PREMIUM CHIROPRACTIC
Active
Organization
PREMIUM CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS TINI DC (ASSOCIATE)
(516) 433-8720
Entity
Organization
Contact information
Practice address
325 N BROADWAY, JERICHO, NY 11753-2015
(516) 433-8720
(516) 433-8723
Mailing address
325 N BROADWAY, JERICHO, NY 11753-2015
(516) 433-8720
(516) 433-8723
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X08707
NY
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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