Organization
FUNCTIONAL CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTA FIORDALISI DC (PRESIDENT)
(631) 388-1188
Entity
Organization
Contact information
Practice address
47 ROUTE 25A, ROCKY POINT, NY 11778-8846
(631) 388-1188
Mailing address
PO BOX 312, MOUNT SINAI, NY 11766-0312
(631) 388-1188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
70009368
NY
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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