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General NPI Number Information
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NPI Number | 1225700040
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Entity Type | Organization
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Legal Business Name | IN SYNC SUFFOLK CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1247 SUFFOLK AVE STE 4
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City | BRENTWOOD
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State | NY
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Zip | 11717-4518
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Country | US
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Telephone | 631-434-7544
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Fax | 631-434-7669
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Provider Business Mailing Address
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Address Line | 1247 SUFFOLK AVE STE 4
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City | BRENTWOOD
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State | NY
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Zip | 11717-4518
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Country | US
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Telephone | 631-434-7544
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Fax | 631-434-7669
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MICHELLE JOAN LESTER
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Credential | DC
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Telephone | 631-434-7544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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