NORTH SHORE CHIROPRACTIC P.C.
Chiropractic at Canal Rd, Prt Jefferson Station, NY

License number
New York X-006475
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. GARY PAUL DIBENEDETTO D.C.
Title: OWNER
Phone: (631) 928-0192
Address
Address
298 Canal Rd, Prt Jefferson Station, NY 11776
National Provider ID: 1598982373
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH SHORE CHIROPRACTIC, PC

Prt Jefferson Station, NY

Industry:
Office of Chiropractor
Doing business as:
North Shore Chiropractic Offices<br>North Shore Chiropractic
Registration:
Jul 18, 2001
Phone:
(631) 928-0192 (Phone)
Addresses:
298 Canal Rd, Port Jefferson Station, NY 11776 (Physical)
35 Morton St, Prt Jefferson Station, NY 11777
State ID:
2661916
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Owners:
Gary Dibenedetto, 298 Canal Rd, Port Jefferson Station, NY 11776 (Physical),Gary Dibenetto (Owner)

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