Organization
TJB CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J BONACUSO JR. D.C.; CCSP (PRESIDENT)
(646) 799-2010
Entity
Organization
Contact information
Practice address
10 HANOVER SQUARE, NEW YORK, NY 10005
(646) 799-2010
Mailing address
10 HANOVER SQUARE, NEW YORK, NY 10005
(646) 799-2010
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X005160
NY
111NS0005X
Sports Physician Chiropractor
X005160
—
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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