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Organization

FIRST CARE CHIROPRACTIC SERVICES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JON J RANDAZZO D.C. (OWNER)
(718) 843-7720
Entity
Organization

Contact information

Practice address
10515 LIBERTY AVE, OZONE PARK, NY 11417-1809
(718) 332-2111
Mailing address
PO BOX 70160, STATEN ISLAND, NY 10307-0160
(718) 843-7720

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007603-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5897310
GHI, GROUP HEALTH INC.
NY
01
CO 7603-1
NEW YORK WORKER S COMP
NY
01
P41-5011
OXFORD
NY
Enumeration date
03/14/2008
Last updated
06/21/2018
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