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Organization

DR. GARY OLSON DC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY OLSON DC (OWNER)
(631) 462-0917
Entity
Organization

Contact information

Practice address
285 COMMACK RD, SUITE 10, COMMACK, NY 11725-3403
(631) 462-0917
(631) 462-1038
Mailing address
285 COMMACK RD, SUITE 10, COMMACK, NY 11725-3403
(631) 462-0917
(631) 462-1038

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X9B411
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5897489
GHI
NY
01
X7S551
BLUE CROSS BLUE SHIELD
NY
Enumeration date
04/18/2008
Last updated
04/18/2008
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