# 495 CHIROPRACTIC, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1912241092
- **Authorized official:** DR. RAYMOND PELLEGRINO DC (OWNER)
- **Authorized official phone:** (516) 319-3839

## Contact information

- **Practice address:** 570 EXPRESSWAY DR S, SUITE 2C, MEDFORD, NY 11763-2049
- **Practice address phone:** (516) 319-3839
- **Mailing address:** 570 EXPRESSWAY DR S, SUITE 2C, MEDFORD, NY 11763-2049
- **Mailing address phone:** (516) 319-3839

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/15/2012