Individual
DR. CHARLES FISCELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3351 PARK AVE, WANTAGH, NY 11793-3716
(516) 221-2125
(516) 221-2114
Mailing address
3351 PARK AVE, WANTAGH, NY 11793-3716
(516) 221-2125
(516) 221-2114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2722
NY
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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