Individual
CARL A PESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1728 BROADWAY, STE 3, HEWLETT, NY 11557-1630
(516) 593-3339
(516) 593-3339
Mailing address
1728 BROADWAY, STE 3, HEWLETT, NY 11557-1630
(516) 593-3339
(516) 593-3339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X2992
NY
Other
Enumeration date
01/18/2006
Last updated
01/03/2008
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