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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

NPI Number 1518148089
LBN Legal business name CORE CHIROPRACTIC REHABILITATION PC
Authorized official ROBERTA FIORDALISI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/26/2007
Last updated 05/02/2008 - About 18 years ago
Identifiers
NY License # 009368
NY License # 010226
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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