Individual
DR. MARC IAN AVVENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
691 ROUTE 25A, MILLER PLACE, NY 11764-2643
(631) 744-2114
Mailing address
691 ROUTE 25A, MILLER PLACE, NY 11764-2643
(631) 744-2114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011602-1
NY
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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