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1568935120
VATRA SPINA AND SPORT LLC
ISLAND PARK, NY
NPI
1568935120
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Entity Type
Organization
Authorized Contact
JEREMY TODD
Owner
516-432-2100
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2019-01-07
Last Update Date
2019-01-07
Business Address
VATRA SPINA AND SPORT LLC
4454 AUSTIN BVLD.
ISLAND PARK, NY 11558-1155
Phone number: 516-432-2100
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Mailing Address
VATRA SPINA AND SPORT LLC
4454 AUSTIN BVLD.
ISLAND PARK, NY 11558
Phone number: 516-432-2100
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