Organization
CORE CHIROPRACTIC REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTA L FIORDALISI D.C (PRESIDENT)
(631) 642-2388
Entity
Organization
Contact information
Practice address
671 OLD TOWN RD, PORT JEFFERSON STATION, NY 11776-4200
(631) 642-2388
(631) 642-2011
Mailing address
PO BOX 312, MOUNT SINAI, NY 11766-0312
(631) 642-2388
(631) 642-2011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
009368
NY
111N00000X
Chiropractor
010226
NY
Other
Enumeration date
11/26/2007
Last updated
05/02/2008
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