Organization
LONG ISLAND CHIROPRACTIC AND SPORTS THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK MANDARINO (PRESIDENT)
(917) 538-7293
Entity
Organization
Contact information
Practice address
279 BURNSIDE AVE, LAWRENCE, NY 11559-1112
(917) 538-7293
Mailing address
6934 59TH DR, MASPETH, NY 11378-2918
(917) 538-7293
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006608-1
NY
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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