Organization
LIBERTY PARK CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH A CICCONE DC (PRES./OWNER)
(718) 764-6669
Entity
Organization
Contact information
Practice address
9316 LIBERTY AVE, OZONE PARK, NY 11417-1528
(718) 764-6669
(718) 835-5505
Mailing address
9316 LIBERTY AVE, OZONE PARK, NY 11417-1528
(718) 764-6669
(718) 835-5505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C09423-2
NY
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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