Organization
EAST END SPORTS CHIROPRACTIC, PC
Active
Organization
EAST END SPORTS CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JAMES PETRUCCELLI D.C. (CHIROPRACTOR/OWNER)
(631) 725-8209
Entity
Organization
Contact information
Practice address
39 DIVISION ST, GROUND FLR, 2ND OFFC FROM REAR, SAG HARBOR, NY 11963-3156
(631) 725-8209
(631) 919-1592
Mailing address
PO BOX 2902, SAG HARBOR, NY 11963-0401
(631) 725-8209
(631) 919-1592
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X010203-1
NY
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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