MEDICARE: POJERO FAMILY CHIROPRACTIC PC

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
1	111N00000X	Chiropractor	X008672	NY

General Provider Information

NPI Number	:	1780888925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POJERO FAMILY CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	153 MAIN ST
Second Line	:
City	:	SAYVILLE
State	:	NY
Zip	:	11782-2503
Country	:	US
Telephone Number	:	631-244-0300
Fax Number	:	631-244-5608

Provider Business Practice Location Address
First Line	:	153 MAIN ST
Second Line	:
City	:	SAYVILLE
State	:	NY
Zip	:	11782-2503
Country	:	US
Telephone Number	:	631-244-0300
Fax Number	:	631-244-5608

Authorized Official
Title or Position	:	OWNER CHIROPRACTOR
Name	:	MR. JOHN T POJERO JR.
Credential	:	DC
Telephone Number	:	631-244-0300

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	08/14/2007

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