Organization
CHIROPRACTIC ASSOCIATES OF ITHACA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PERSOLEO JR. D.C. (OWNER/CHIROPRACTOR)
(302) 743-5466
Entity
Organization
Contact information
Practice address
208 N MEADOW ST, ITHACA, NY 14850-4027
(607) 272-0006
Mailing address
208 N MEADOW ST, ITHACA, NY 14850-4027
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
70012117
NY
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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