# LISA A. MAFFUCCI, D.C., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669701165
- **Authorized official:** DR. LISA A. MAFFUCCI D.C. (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (845) 338-2084

## Contact information

- **Practice address:** 187 PINE ST, KINGSTON, NY 12401-4527
- **Practice address phone:** (845) 338-2084
- **Practice address fax:** (845) 334-9343
- **Mailing address:** 187 PINE ST, KINGSTON, NY 12401-4527
- **Mailing address phone:** (845) 338-2084
- **Mailing address fax:** (845) 334-9343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X010080 | NY | Yes |

## Other

- **Enumeration date:** 12/11/2009
- **Last updated:** 12/11/2009