# BACK AND BODY MEDICAL

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

## Provider details

- **NPI number:** 1982003943
- **Authorized official:** DR. DAVID PERNA D.C. (DOCTOR)
- **Authorized official phone:** (888) 491-4655

## Contact information

- **Practice address:** 133 E 58TH ST, SUITE 708, NEW YORK, NY 10022-1236
- **Practice address phone:** (888) 491-4655
- **Mailing address:** 376 MIDDLE RD, BAYPORT, NY 11705-1912
- **Mailing address phone:** (631) 521-6819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X012542-1 | NY | Yes |

## Other

- **Enumeration date:** 08/15/2014
- **Last updated:** 08/15/2014