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Organization

CHIROSPORT AND SPINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN L. BALDIA D.C. (OWNER/CHIROPRACTOR)
(267) 253-7808
Entity
Organization

Contact information

Practice address
421 E. MAIN ST., ENDICOTT, NY 13760
(607) 321-7674
(855) 890-7728
Mailing address
3103 CHATHAM RD., ENDWELL, NY 13760
(607) 321-7674

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC007952L
PA
111N00000X
Chiropractor
Primary
X012250-1
NY

Other

Enumeration date
01/29/2014
Last updated
04/29/2014
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