Organization
FUNCTIONAL CHIROPRACTIC TESTING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY S DESANO DC (PRESIDENT)
(718) 296-6900
Entity
Organization
Contact information
Practice address
8416 JAMAICA AVE, WOODHAVEN, NY 11421-1920
(718) 296-6900
Mailing address
8416 JAMAICA AVE, WOODHAVEN, NY 11421-1920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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