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Dr. Eugene Russell Faillace, DC
Chiropractor in Ronkonkoma, New York
NPI 1164488896

Eugene Russell Faillace is a Chiropractor based in Bayport, NY. Eugene Russell Faillace practices in Ronkonkoma, NY and has the professional credentials of DC. The NPI Number for Eugene Russell Faillace is 1164488896 and holds a License No. X007958 (New York).

The current practice location address for Eugene Russell Faillace is 3075 Veterans Memorial Hwy Ste 101, Ronkonkoma, NY and can be reached out via phone at 631-708-5573 and via fax at 631-619-6543.

Location: 3075 Veterans Memorial Hwy Ste 101, Ronkonkoma, NY, 11705-2107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164488896
Provider Name
Eugene Russell Faillace
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3075 Veterans Memorial Hwy Ste 101, Ronkonkoma, NY, 11705-2107
Phone Number
631-708-5573
Fax Number
631-619-6543
Provider Enumeration Date
04/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X007958 01 NY NYS LICENSE
institution
Provider Business Practice Location Address Details
Address
3075 Veterans Memorial Hwy Ste 101
City
Ronkonkoma
State
New York
Zip
11779-7600
Phone Number
631-708-5573
Fax Number
631-619-6543
person
Provider Business Mailing Address Details
Address
3075 Veterans Memorial Hwy Ste 101
City
Ronkonkoma
State
New York
Zip
11779-7600
Phone Number
631-708-5573
Fax Number
631-619-6543
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X007958 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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