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Individual

LEO BELOYIANIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
100 E PARK AVE, LONG BEACH, NY 11561
(516) 889-4044
(516) 889-4053
Mailing address
PO BOX 1074, 100 E PARK AVE, LONG BEACH, NY 11561
(516) 889-4044
(516) 889-4053

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0030571
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0036712
GHI
01
C030579
WCOMP
Enumeration date
12/04/2006
Last updated
08/03/2010
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