Organization
CORDOVA CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATERINE RAYMONDI (DC)
(908) 546-2816
Entity
Organization
Contact information
Practice address
6535 QUEENS BLVD, SUITE 100, WOODSIDE, NY 11377-5769
(718) 426-4242
Mailing address
3225 88TH ST, APT 207, EAST ELMHURST, NY 11369-2147
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X012537-1
STATE LICENSE
NY
Enumeration date
04/06/2016
Last updated
04/06/2016
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