Individual
DR. KEITH PASTUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
131 OLD COUNTRY ROAD, HICKSVILLE, NY 11801
(516) 822-1900
(516) 681-3423
Mailing address
131 OLD COUNTRY ROAD, HICKSVILLE, NY 11801
(516) 822-1900
(516) 681-3423
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X2447
NY
Other
Enumeration date
10/24/2005
Last updated
03/17/2008
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