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Organization
PENN STATION CHIROPRACTIC AND WELLNESS INC.
Active
Organization
PENN STATION CHIROPRACTIC AND WELLNESS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SHAVE DC (OWNER)
(212) 268-7366
Entity
Organization
Contact information
Practice address
450 7TH AVE STE 309, NEW YORK, NY 10123-0309
(212) 268-7366
(212) 594-2468
Mailing address
450 7TH AVE STE 309, NEW YORK, NY 10123-0309
(212) 268-7366
(212) 594-2468
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011181-1
NY
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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