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Organization
BROOKHAVEN SPINE & SPORTS CHIROPRACTIC
Active
Organization
BROOKHAVEN SPINE & SPORTS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JOSEPH VISO DC (PARTNER)
(917) 921-0054
Entity
Organization
Contact information
Practice address
239 E MAIN ST, PATCHOGUE, NY 11772-3105
(631) 627-6300
Mailing address
239 E MAIN ST, PATCHOGUE, NY 11772-3105
(631) 627-6300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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