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Individual

DR. CHARLES JOSEPH CANCELLIERI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
900 WALT WHITMAN ROAD, (SUITE 100), MELVILLE, NY 11747
(631) 673-6464
(631) 673-6488
Mailing address
900 WALT WHITMAN ROAD (SUITE 100), (SUITE 100), MELVILLE, NY 11747
(631) 673-6464
(631) 673-6488

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X00468-1
NY

Other

Enumeration date
12/30/2015
Last updated
12/30/2015
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