Organization
IAMMATTEO FAMILY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENE T. IAMMATTEO D.C. (DOCTOR OF CHIROPRACTIC)
(845) 421-3997
Entity
Organization
Contact information
Practice address
9 RONALD REAGAN BLVD, WARWICK, NY 10990-4115
(845) 421-3997
Mailing address
9 RONALD REAGAN BLVD, WARWICK, NY 10990-4115
(845) 421-3997
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008087-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01751091
—
NY
Enumeration date
08/09/2012
Last updated
07/18/2018
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