Organization
CLIFFORD A. DUKOFSKY, D.C., P.C
Active
Other names
Country Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD A. DUKOFSKY D.C. (PRESIDENT)
(631) 698-9800
Entity
Organization
Contact information
Practice address
2233 NESCONSET HWY, SUITE 102, LAKE GROVE, NY 11755-1000
(631) 698-9800
(631) 698-9801
Mailing address
2233 NESCONSET HWY, SUITE 102, LAKE GROVE, NY 11755-1000
(631) 698-9800
(631) 698-9801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009133
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02220033
—
NY
01
—
A100001732
MEDICARE PTAN
NY
01
—
C09133-2
WORKERS' COMP.
NY
Enumeration date
03/13/2007
Last updated
07/09/2011
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