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Organization

ENVISION WELLNESS CHIROPRACTIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERICK TINARI DC (PRES./OWNER)
(631) 467-8224
Entity
Organization

Contact information

Practice address
1461 LAKELAND AVE, SUITE 9, BOHEMIA, NY 11716
(631) 467-8224
(631) 585-7575
Mailing address
1461 LAKELAND AVE, SUITE 9, BOHEMIA, NY 11716
(631) 467-8224
(631) 585-7575

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X003397-1
NY

Other

Enumeration date
04/12/2018
Last updated
10/20/2022
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