NPI 1043516933

Elite Sports Chiropractic

Organisation Sports Physician Chiropractor Merrick, NY

Practice location

Address: 17a Merrick Ave, Merrick, NY 11566-3444
Phone: (516) 987-4336
Fax: (516) 385-8144
Mailing address: 3642 Centerview Ave, Wantagh, NY 11793-2753

Authorised official

Name: Jennifer Amato
Title: Owner
Phone: (516) 987-4336

Registered specialties

Sports Physician Chiropractor Primary

Chiropractic Providers Taxonomy 111NS0005X Licence X011118 (NY)

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Registry record

NPI: 1043516933
Entity type: Organization
NPI issued: 10 Feb 2011
Record last updated: 10 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.