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NPI Code Detail

MEDICARE: COMPREHENSIVE CHIROPRACTIC CENTER

MEDICARE: COMPREHENSIVE CHIROPRACTIC CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorX005198NY

General Provider Information

NPI Number : 1588103899
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE CHIROPRACTIC CENTER
Provider Business Mailing Address
First Line : 2854 LOWER LINCOLN AVE
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-2117
Country : US
Telephone Number : 516-766-8092
Fax Number : 516-763-0733
Provider Business Practice Location Address
First Line : 2854 LOWER LINCOLN AVE
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-2117
Country : US
Telephone Number : 516-766-8092
Fax Number : 516-763-0733
Authorized Official
Title or Position : PRESIDENT
Name : JEFFREY A SHAPIRO
Credential : DC
Telephone Number : 516-766-8092
Provider Enumeration Date : 02/20/2017
Last Update Date : 02/22/2017

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Directions to “COMPREHENSIVE CHIROPRACTIC CENTER ” Practice Location

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