# MALVERNE FAMILY CHIROPRACTIC, PC

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

## Provider details

- **NPI number:** 1801291828
- **Authorized official:** DR. ANDREW ROBERT FORELLI JR. D.C. (PRESIDENT)
- **Authorized official phone:** (516) 599-6556

## Contact information

- **Practice address:** 301 HEMPSTEAD AVE, MALVERNE, NY 11565-1225
- **Practice address phone:** (516) 599-6556
- **Mailing address:** 301 HEMPSTEAD AVE, MALVERNE, NY 11565-1225
- **Mailing address phone:** (516) 599-6556
- **Mailing address fax:** (516) 887-2569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X006484 | NY | Yes |

## Other

- **Enumeration date:** 11/03/2014
- **Last updated:** 11/03/2014
