Organization
PARK PLACE CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE ELSHOLZ D.C. (OWNER)
(631) 331-5353
Entity
Organization
Contact information
Practice address
109 ECHO AVE, MILLER PLACE, NY 11764-2205
(631) 331-5353
(631) 331-3948
Mailing address
109 ECHO AVE, MILLER PLACE, NY 11764-2205
(631) 331-5353
(631) 331-3948
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011327
NY
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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