Organization
BAYSHORE CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SUPER DC (PRESIDENT)
(917) 449-7582
Entity
Organization
Contact information
Practice address
1421 SHEEPSHEAD BAY RD, # 594, BROOKLYN, NY 11235-3813
(718) 421-1705
(516) 378-8088
Mailing address
PO BOX 315, BALDWIN, NY 11510-0315
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009043
NY
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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