Organization
IMAGINE CHIROPRACTIC HEALTHCARE, PLLC
Active
Other names
Champion Performance and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GUCCIARDI D.C. (OWNER)
(631) 675-2758
Entity
Organization
Contact information
Practice address
5 S JERSEY AVE, EAST SETAUKET, NY 11733-2045
(631) 675-2758
(631) 675-2760
Mailing address
PO BOX 202, SAINT JAMES, NY 11780-0202
(631) 675-2758
(631) 675-2760
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
010407
NY
Other
Enumeration date
11/29/2010
Last updated
04/03/2024
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