Organization
EVOLUTION CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL V. SCARBOROUGH JR. (PRESIDENT)
(646) 358-5608
Entity
Organization
Contact information
Practice address
1310 PUGSLEY AVE, BRONX, NY 10462-4408
(718) 239-9119
Mailing address
PO BOX 593, BRONX, NY 10461-0209
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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