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Organization
WEST 16TH SPORTS CHIROPRACTIC PC
Active
Organization
WEST 16TH SPORTS CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN CONIGLIO D.C. (PRES/ OWNER)
(212) 633-6123
Entity
Organization
Contact information
Practice address
246 W 16TH ST, STE. 1A, NEW YORK, NY 10011-6101
(212) 633-6123
Mailing address
246 W 16TH ST, STE. 1A, NEW YORK, NY 10011-6101
(212) 633-6123
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005592
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13853
ATLANTIS
NY
01
—
P643889
OXFORD
NY
01
—
X005592
STATE LICENSE
NY
Enumeration date
02/18/2009
Last updated
04/30/2009
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