Individual
DR. PATRICK G DECAROLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 MIDDLE NECK RD, ROSLYN, NY 11576
(516) 365-2700
(516) 365-2794
Mailing address
30 MIDDLE NECK RD, ROSLYN, NY 11576
(516) 365-2700
(516) 365-2794
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005595
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X005595
LICENSE
NY
Enumeration date
09/21/2006
Last updated
07/08/2007
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