Organization
SUFFOLK FAMILY CHIROPRACTIC, P.C.
Active
Other names
BACK TO LIFE CHIROPRACTIC SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FERNANDEZ D.C. (PRESIDENT)
(718) 424-4455
Entity
Organization
Contact information
Practice address
4322 50TH ST, SUITE 1-B, WOODSIDE, NY 11377-4442
(718) 424-4455
(718) 478-8672
Mailing address
4322 50TH ST, SUITE 1-B, WOODSIDE, NY 11377-4442
(718) 424-4455
(718) 478-8672
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
C-007735-6B
NY
111NN0400X
Neurology Chiropractor
C-007735-6B
NY
111NS0005X
Sports Physician Chiropractor
C-007735-6B
NY
111NX0800X
Orthopedic Chiropractor
Primary
C-007735-6B
NY
Other
Enumeration date
04/03/2007
Last updated
09/11/2025
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