Organization
JONAS CHIROPRACTIC SPORTS INJURY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN DEGORTER DC (OWNER)
(516) 921-1295
Entity
Organization
Contact information
Practice address
99 COLD SPRING RD STE 102A, SYOSSET, NY 11791-3140
(516) 921-1295
(516) 496-2860
Mailing address
99 COLD SPRING RD STE 102A, SYOSSET, NY 11791-3140
(516) 921-1295
(516) 496-2860
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47682318
TAX ID
NY
Enumeration date
03/10/2022
Last updated
03/10/2022
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