Organization
JJ & R CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ROBERT GAMBINO D.C. (PRESIDENT)
(516) 554-4929
Entity
Organization
Contact information
Practice address
389 ROOSEVELT AVE, FREEPORT, NY 11520-6126
(516) 554-4929
(718) 205-2245
Mailing address
389 ROOSEVELT AVE, FREEPORT, NY 11520-6126
(516) 554-4929
(718) 205-2245
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
X010987
NY
302R00000X
Health Maintenance Organization
Primary
X010987
NY
305R00000X
Preferred Provider Organization
X010987
NY
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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