Organization
BACK TO NORMAL CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMONE AVRIL VILAIRE DC (CHIROPRACTOR/PRESIDENT)
(917) 456-2951
Entity
Organization
Contact information
Practice address
2305 HYLAN BLVD, STATEN ISLAND, NY 10306-3231
(917) 456-2951
Mailing address
5 SAINT CHARLES PL, BROOKLYN, NY 11216-4108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010054
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33
CHIROPRACTIC
—
Enumeration date
11/12/2014
Last updated
11/12/2014
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