Individual
DR. MARC S. TACZANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
631 LAKE AVE, SUITE A, SAINT JAMES, NY 11780-1961
(631) 584-8783
(631) 584-8784
Mailing address
631 LAKE AVENUE SUITE A, SAINT JAMES, NY 11780
(631) 584-8783
(631) 584-8784
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X008229-1
NY
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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