Organization
BACK TO HEALTH CHIROPRACTIC, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY STEPHEN MANDRACCHIA (OWNER)
(718) 605-2225
Entity
Organization
Contact information
Practice address
6659 AMBOY RD, STATEN ISLAND, NY 10309-3125
(718) 605-2225
(718) 966-5630
Mailing address
6659 AMBOY RD, STATEN ISLAND, NY 10309-3125
(718) 605-2225
(718) 966-5630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009001
NY
Other
Enumeration date
03/17/2008
Last updated
04/28/2009
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