Organization
BROADWAY CHIROPRACTOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNMARIE CASTELLANO (OFFICE MANAGER)
(516) 599-6100
Entity
Organization
Contact information
Practice address
120 BROADWAY, LYNBROOK, NY 11563-3233
(516) 599-6100
(516) 593-0406
Mailing address
120 BROADWAY, LYNBROOK, NY 11563-3233
(516) 599-6100
(516) 593-0406
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X002413-1
NY
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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