Organization
HALLMARK CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN MARK D.C. (PARTNER)
(631) 727-3795
Entity
Organization
Contact information
Practice address
633 ROANOKE AVE, RIVERHEAD, NY 11901-2727
(631) 727-3795
(631) 727-1961
Mailing address
633 ROANOKE AVE, RIVERHEAD, NY 11901-2727
(631) 727-3795
(631) 727-1961
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007337-1
NY
Other
Enumeration date
06/04/2006
Last updated
03/08/2011
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