Organization
CLOVER CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WALLACH (AUTHORIZED OFFICIAL)
(516) 218-0011
Entity
Organization
Contact information
Practice address
5 GLENWOOD ST, GREAT NECK, NY 11021-4010
(516) 218-0011
Mailing address
10 BOND ST # 490, GREAT NECK, NY 11021-2454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
10/05/2023
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