Organization
ADVANTAGE MASSAGE THERAPY, CHIROPRACTIC & ACUPUNCTURE, PLLC
Active
Other names
LONG ISLAND FUNCTIONAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CULLIN (CHIROPRACTOR)
(631) 404-6377
Entity
Organization
Contact information
Practice address
535 BROADHOLLOW RD, MELVILLE, NY 11747-3713
(631) 404-6377
Mailing address
193 N WELLWOOD AVE, LINDENHURST, NY 11757-4080
(631) 404-6377
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
008902
NY
171100000X
Acupuncturist
004878
NY
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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