Organization
AVANTAGE DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIQUE PASCUAL DC (OWNER)
(973) 747-9410
Entity
Organization
Contact information
Practice address
734 FRANKLIN AVE, SUITE 183, GARDEN CITY, NY 11530-4525
(973) 747-9410
Mailing address
734 FRANKLIN AVE, SUITE 183, GARDEN CITY, NY 11530-4525
(973) 747-9410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
587393326
NY
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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