Individual
DR. CHARLES JOHN CONNOLLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
15 MILLET ST, DIX HILLS, NY 11746
(631) 667-7600
(631) 667-7600
Mailing address
15 MILLET ST, DIX HILLS, NY 11746
(631) 667-7600
(631) 667-7600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005460-1
NY
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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