EUGENE RUSSELL FAILLACE

RONKONKOMA, NY
NPI1164488896
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: NY  X007958)
Enumeration Date2006-04-21
Last Update Date2018-12-10
Business Address
Dr. EUGENE RUSSELL FAILLACE D.C.
3075 VETERANS MEMORIAL HWY STE 101
RONKONKOMA, NY 11779-7600
Phone number: 631-708-5573
Mailing Address
Dr. EUGENE RUSSELL FAILLACE D.C.
64 SUYDAM LN
BAYPORT, NY 11705-2107
Phone number: 631-472-2696
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