Organization
BRENT CITY CHIROPRACTIC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY N BONASERA (DOCTOR)
(631) 445-1011
Entity
Organization
Contact information
Practice address
1799 BRENTWOOD RD, BRENTWOOD, NY 11717-4611
(631) 434-6685
Mailing address
1799 BRENTWOOD RD, BRENTWOOD, NY 11717-4611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005301
NY
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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