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Organization

GREAT SOUTH BAY CHIROPRACTIC OFFICE

Active
Parent organization
ANDREW S FARRAGO
Other names
Andrew S Farrago
Organization subpart
Yes

Provider details

NPI number
Legal business name
ANDREW S FARRAGO
Authorized official
ANDREW SCOTT FARRAGO DC (OWNER)
(631) 289-6767
Entity
Organization

Contact information

Practice address
105 MEDFORD AVE, PATCHOGUE, NY 11772-1223
(631) 289-6767
(631) 289-6790
Mailing address
105 MEDFORD AVE, PATCHOGUE, NY 11772-1223
(631) 289-6767
(631) 289-6790

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
07/07/2023
Last updated
11/25/2024
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