Organization
MARVIN FAMILY CHIROPRACTIC PC
Active
Organization
MARVIN FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH RUSSELL MARVIN DC (OWNER)
(845) 735-4755
Entity
Organization
Contact information
Practice address
37 E CENTRAL AVE, PEARL RIVER, NY 10965-2306
(845) 735-4755
(845) 735-1055
Mailing address
37 E CENTRAL AVE, PEARL RIVER, NY 10965-2306
(845) 735-4755
(845) 735-1055
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X008559-1
NY
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
Update your record
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