Individual
DR. MARYLOU VENEZIALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
287 ROUTE 32, CENTRAL VALLEY, NY 10917-0626
(845) 928-6278
(845) 928-6751
Mailing address
PO BOX 626, CENTRAL VALLEY, NY 10917-0626
(845) 928-6278
(845) 928-6751
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X003698-1
NY
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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