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Organization
LAKE CHIROPRACTIC, PLLC.
Active
Organization
LAKE CHIROPRACTIC, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ROBERT BERNARDINI DC (CHIROPRACTOR/ PRESIDENT)
(631) 981-1333
Entity
Organization
Contact information
Practice address
201 PORTION RD, SUITE A, LAKE RONKONKOMA, NY 11779-4172
(631) 981-1333
(631) 981-6766
Mailing address
201 PORTION RD, SUITE A, LAKE RONKONKOMA, NY 11779-4172
(631) 981-1333
(631) 981-6766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X2929
NY
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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