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Individual

FABIO-BENTO SEQUEIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
483 10TH AVE RM 525, NEW YORK, NY 10018-9824
(516) 244-6686
Mailing address
286 PARK TER N, EAST MEADOW, NY 11554-3510
(516) 244-6686

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X013750-01
NY

Other

Enumeration date
09/14/2023
Last updated
09/14/2023
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