| NPI | 1679787618 |
|---|---|
| Other Name | THE UPSTATE CLINIC OF SPECIFIC CHIROPRACTIC, P.A. |
| Entity Type | Organization |
| Authorized Contact | STEPHEN A CONICELLO President 864-855-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2941) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3243) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-11-28 |