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Organization
T & J CHIROPRACTIC PC
Active
Organization
T & J CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SUPER DC (PRESIDENT)
(718) 421-1705
Entity
Organization
Contact information
Practice address
1468 FLATBUSH AVE, BROOKLYN, NY 11210-2329
(718) 421-1705
(516) 378-8088
Mailing address
PO BOX 315, BALDWIN, NY 11510-0315
(718) 421-1705
(516) 378-8088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009043
NY
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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