Provider Demographics
NPI:1548576432
Name:SYOSSET CHIROPRACTIC ASSOCIATES PC
Entity Type:Organization
Organization Name:SYOSSET CHIROPRACTIC ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:M
Authorized Official - Last Name:CONTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-682-5050
Mailing Address - Street 1:332 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4124
Mailing Address - Country:US
Mailing Address - Phone:516-682-5050
Mailing Address - Fax:
Practice Address - Street 1:332 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4124
Practice Address - Country:US
Practice Address - Phone:516-682-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty