# JACQUELINE DIMALANTE DC PC

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

## Provider details

- **NPI number:** 1962694885
- **Authorized official:** JACQUELINE DIMALANTE DC (PRESIDENT)
- **Authorized official phone:** (631) 422-2225

## Contact information

- **Practice address:** 720 UDALL ROAD, WEST ISLIP, NY 11795
- **Practice address phone:** (631) 422-2225
- **Mailing address:** 720 UDALL ROAD, WEST ISLIP, NY 11795
- **Mailing address phone:** (631) 422-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X005874 | NY | Yes |

## Other

- **Enumeration date:** 08/14/2007
- **Last updated:** 08/14/2007