Organization
5-STAR CHIROPRACTIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN WATTENMAKER DC (PRES/OWNER)
(914) 646-6893
Entity
Organization
Contact information
Practice address
56 QUARRY LN, BEDFORD, NY 10506-1539
(914) 646-6893
Mailing address
56 QUARRY LN, BEDFORD, NY 10506-1539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9236
NY
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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