Organization
NORTH SHORE CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY PAUL DIBENEDETTO D.C. (OWNER)
(631) 928-0192
Entity
Organization
Contact information
Practice address
298 CANAL RD, PORT JEFFERSON STATION, NY 11776-3040
(631) 928-0192
(631) 928-0253
Mailing address
298 CANAL RD, PORT JEFFERSON STATION, NY 11776-3040
(631) 928-0192
(631) 928-0253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X-006475
NY
Other
Enumeration date
04/20/2007
Last updated
12/16/2008
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