Individual
DR. MISTI LEE MILLAR-CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4974 EXPRESS DR S, LAKE RONKONKOMA, NY 11779-5544
(631) 467-5515
Mailing address
4974 EXPRESS DR S, LAKE RONKONKOMA, NY 11779-5544
(631) 467-5327
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008864
NY
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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