Individual
DR. LINDA M BOCCHICHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
105 LAKE AVE S, NESCONSET, NY 11767-1049
(631) 979-9854
(631) 366-0084
Mailing address
105 LAKE AVE S, NESCONSET, NY 11767-1049
(631) 979-9854
(631) 366-0084
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X004807-1
NY
Other
Enumeration date
10/04/2006
Last updated
08/11/2010
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