| Lake Chiropractic, Pllc. | |
|
201 Portion Rd, Suite A, Lake Ronkonkoma, NY 11779-4172 | |
| (631) 981-1333 | |
| (631) 981-6766 |
| Full Name | Lake Chiropractic, Pllc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 201 Portion Rd, Lake Ronkonkoma, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972803104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X2929 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Chiropractic, Pllc. 201 Portion Rd, Suite A, Lake Ronkonkoma, NY 11779-4172 Ph: (631) 981-1333 | Lake Chiropractic, Pllc. 201 Portion Rd, Suite A, Lake Ronkonkoma, NY 11779-4172 Ph: (631) 981-1333 |
Dr. Misti Lee Millar-calderon, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4974 Express Dr S, Lake Ronkonkoma, NY 11779 Phone: 631-467-5515 | |
Ronald R Bernardini, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 201 Portion Rd, Lake Ronkonkoma, NY 11779 Phone: 631-981-1333 Fax: 631-981-6766 | |
Dr. Debra Hoolahan, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 95 Arlington Rd, Lake Ronkonkoma, NY 11779 Phone: 631-672-8064 |