Organization
FULL STRIDE SPINE & SPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PUNGELLO (CHIROPRACTOR)
(845) 238-9651
Entity
Organization
Contact information
Practice address
150 KNICKERBOCKER AVE STE F, BOHEMIA, NY 11716-3163
(845) 238-9651
Mailing address
150 KNICKERBOCKER AVE STE F, BOHEMIA, NY 11716-3163
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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