Individual
DR. GARY P DIBENEDETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
298 CANAL RD, PORT JEFFERSON STATION, NY 11776
(631) 928-0192
(631) 928-0253
Mailing address
298 CANAL RD, PORT JEFFERSON STATION, NY 11776
(631) 928-0192
(631) 928-0253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006475
NY
Other
Enumeration date
08/20/2006
Last updated
12/12/2008
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