Organization
NORTH SHORE NEUROFEEDBACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACIE LOCASCIO DC (PRESIDENT)
(516) 903-4599
Entity
Organization
Contact information
Practice address
480 FOREST AVE LOWR LEVEL, LOCUST VALLEY, NY 11560-2151
(516) 903-4599
Mailing address
124 WOOLSEY AVE, GLEN COVE, NY 11542-1808
(516) 903-4599
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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