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Organization

FAMILY CHIROPRACTIC

Active
Other names
Charles A. Fundaro DC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES A. FUNDARO D.C. (CLINIC DIRECTOR)
(718) 236-6177
Entity
Organization

Contact information

Practice address
1850-82 STREET, SUITE L-2, BROOKLYN, NY 11214-2264
(718) 236-6177
(718) 236-6178
Mailing address
1850-82 STREET, SUITE L-2, BROOKLYN, NY 11214-2264
(718) 236-6177
(718) 236-6178

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X003524-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO3524-8B
NYS WORKER'S COMPENSATION
NY
Enumeration date
02/23/2007
Last updated
08/11/2008
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