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Organization

CHIROPRACTIC PERFORMANCE SERVICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY DESANO (OWNER)
(718) 296-6900
Entity
Organization

Contact information

Practice address
8416 JAMAICA AVE, WOODHAVEN, NY 11421-1920
(718) 296-6900
Mailing address
8416 JAMAICA AVE, WOODHAVEN, NY 11421-1920

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006997-1
NY

Other

Enumeration date
06/03/2014
Last updated
06/03/2014
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