Organization
495 CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND PELLEGRINO DC (OWNER)
(516) 319-3839
Entity
Organization
Contact information
Practice address
570 EXPRESSWAY DR S, SUITE 2C, MEDFORD, NY 11763-2049
(516) 319-3839
Mailing address
570 EXPRESSWAY DR S, SUITE 2C, MEDFORD, NY 11763-2049
(516) 319-3839
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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