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Contact Information

CORE CHIROPRACTIC REHABILITATION PC
671 OLD TOWN RD
PORT JEFFERSON STATION, NY11776-4200
 Phone: 631-642-2388
 Fax: 631-642-2011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CORE CHIROPRACTIC REHABILITATION PC · (Female)

NPI # 1518148089
Status Active
Credentials
Entity Individual
Enumeration date 11/26/2007
Last updated 05/02/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 009368
  • NY License # 010226
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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