Organization
OCEANSIDE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO FUNICELLI D.C. (OWNER)
77189487811
Entity
Organization
Contact information
Practice address
4280 HYLAN BLVD, STATEN ISLAND, NY 10312-6526
(718) 948-7811
(718) 948-1018
Mailing address
4280 HYLAN BLVD, STATEN ISLAND, NY 10312-6526
(718) 948-7811
(718) 948-1018
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007427
NY
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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