Individual
JAMIE WENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
131 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4007
(516) 822-1900
Mailing address
131 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4007
(516) 822-1900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013423
NY
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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