Organization
COMPLETE CHIROPRACTIC REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD TANZA JR. DC (MANAGER)
(631) 689-8662
Entity
Organization
Contact information
Practice address
140 BELLE MEAD RD, SUITE D, SETAUKET, NY 11733-6400
(631) 689-8662
Mailing address
140 N BELLE MEAD AVE STE D, EAST SETAUKET, NY 11733-6400
(631) 689-8662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
09/28/2012
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