Organization
BAYSHORE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SUPER DC (PRESIDENT)
(516) 307-1345
Entity
Organization
Contact information
Practice address
1590 UNION BLVD, BAY SHORE, NY 11706-7358
(631) 665-2421
Mailing address
595 STEWART AVE, SUITE 750, GARDEN CITY, NY 11530-4787
(516) 307-1345
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009043
NY
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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