Organization
HOMEOSTASIS HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY ESTRADA D.C, (MANAGING DIRECTOR)
(551) 795-0831
Entity
Organization
Contact information
Practice address
628 BROADWAY, PATERSON, NJ 07514-1918
(551) 795-0831
Mailing address
4 RYERSON AVE, PATERSON, NJ 07502-2134
(551) 795-0831
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00682200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38MC00682200
D.C. LICENSE
NJ
Enumeration date
12/24/2010
Last updated
12/24/2010
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