Organization
MLJ CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC L JACOBS D.C. (PRESIDENT)
(516) 679-0000
Entity
Organization
Contact information
Practice address
2270 GRAND AVE, BALDWIN, NY 11510-3163
(516) 379-0000
(516) 379-7919
Mailing address
2270 GRAND AVE, BALDWIN, NY 11510-3163
(516) 379-0000
(516) 379-7919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009276
NY
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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