Organization
MDJ CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DANIEL JEANNITON D.C (CEO)
(917) 686-3548
Entity
Organization
Contact information
Practice address
790A UNION ST, BROOKLYN, NY 11215-1307
(718) 230-4842
(718) 230-4834
Mailing address
387 E 46TH ST, BROOKLYN, NY 11203-3206
(917) 686-3548
(718) 230-4834
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011580
NY
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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