Individual
DR. CHARLES MICHAEL VENTRESCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., L.AC.
Contact information
Practice address
194 BIRCH HILL RD, LOCUST VALLEY, NY 11560-1832
(516) 676-4267
(516) 676-6811
Mailing address
194 BIRCH HILL RD, LOCUST VALLEY, NY 11560-1832
(516) 676-4267
(516) 676-6811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X4493
NY
171100000X
Acupuncturist
000627
NY
Other
Enumeration date
01/29/2007
Last updated
02/25/2015
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