Organization
ISLIP CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA BOWEN D.C. (OWNER)
(631) 647-8324
Entity
Organization
Contact information
Practice address
99 E MAIN ST, SUITE 2, EAST ISLIP, NY 11730-2538
(631) 647-8324
(631) 647-8324
Mailing address
PO BOX 27, ISLIP, NY 11751-0027
(631) 647-8324
(631) 647-8324
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
010865
NY
Other
Enumeration date
11/05/2012
Last updated
01/19/2016
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