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Organization

MARC AVVENTO DC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARC AVVENTO D.C. (PRESDENT/ CLINIC DIRECTOR)
(631) 744-2114
Entity
Organization

Contact information

Practice address
691 ROUTE 25A, C/O THE BODY SHOP, MILLER PLACE, NY 11764-2643
(631) 744-2114
(631) 744-2114
Mailing address
691 ROUTE 25A, C/O THE BODY SHOP, MILLER PLACE, NY 11764-2643
(631) 744-2114
(631) 744-2114

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
X011602-1
NY

Other

Enumeration date
05/08/2009
Last updated
05/08/2009
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