Individual
CORAL ELCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
264 LAWRENCE ST, UNIONDALE, NY 11553-1006
(917) 497-8129
Mailing address
264 LAWRENCE ST, UNIONDALE, NY 11553-1006
(917) 497-8129
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X06643DUP
NY
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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