Organization
CORRECTIVE CHIROPRACTIC, PLLC
Active
Other names
Michael Carnes, DC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PETER CARNES D.C. (PRESIDENT)
(631) 849-1586
Entity
Organization
Contact information
Practice address
595 ROUTE 25A, SUITE 2B, MILLER PLACE, NY 11764-2646
(631) 849-1586
(631) 849-1587
Mailing address
595 ROUTE 25A, SUITE 2B, MILLER PLACE, NY 11764-2646
(631) 849-1586
(631) 849-1587
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011590-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X011590-1
STATE LICENSE
NY
Enumeration date
05/22/2013
Last updated
05/22/2013
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