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Individual

MR. JEFFREY S RAUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4708 104TH ST, CORONA, NY 11368-2811
(718) 725-7417
(718) 476-7234
Mailing address
57 IRA RD, SUITE 156, SYOSSET, NY 11791-3504
(516) 729-2629
(718) 733-0351

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
008315
NY

Other

Enumeration date
01/05/2007
Last updated
07/08/2007
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