Organization
PAUL D PRIOLO DC PC
Active
Other names
Paul Priolo DC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DAVID PRIOLO DC (CHIROPRACTOR)
(631) 379-2711
Entity
Organization
Contact information
Practice address
2805 VETERANS MEMORIAL HWY STE 8, RONKONKOMA, NY 11779-7680
(631) 676-6324
Mailing address
4 CHAPEL HILL CT, LAKE GROVE, NY 11755-2470
(631) 379-2711
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
NOT IN MEDICARE OR MEDICADE
NY
Enumeration date
02/05/2022
Last updated
02/05/2022
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