| NPI | 1891838538 |
|---|---|
| Doing Business As | PORT JEFF STATION CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | GREGORY N. BONASERA Member 631-828-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY X005301-1) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2019-01-22 |