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Organization
PORT CITY CHIROPRACTIC, PC
Active
Organization
PORT CITY CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD JAMES GALVIN JR. D.C. (OWNER)
(315) 342-6151
Entity
Organization
Contact information
Practice address
11 FOURTH AVE, OSWEGO, NY 13126-1852
(315) 342-6151
(315) 342-8548
Mailing address
11 FOURTH AVE, OSWEGO, NY 13126-1852
(315) 342-6151
(315) 342-8548
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005645-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
888021393
EXCELLUS BC/BS
NY
Enumeration date
08/09/2005
Last updated
01/11/2010
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