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Dr. Gary P Dibenedetto, DC
Chiropractor in Port Jefferson Station, New York
NPI 1790890580

Gary P Dibenedetto is a Chiropractor based in Port Jefferson Station, NY. Gary P Dibenedetto practices in Port Jefferson Station, NY and has the professional credentials of DC. The NPI Number for Gary P Dibenedetto is 1790890580 and holds a License No. X006475 (New York).

The current practice location address for Gary P Dibenedetto is 298 Canal Rd, Port Jefferson Station, NY and can be reached out via phone at 631-928-0192 and via fax at 631-928-0253.

Location: 298 Canal Rd, Port Jefferson Station, NY, 11776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790890580
Provider Name
Gary P Dibenedetto
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
298 Canal Rd, Port Jefferson Station, NY, 11776
Phone Number
631-928-0192
Fax Number
631-928-0253
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
298 Canal Rd
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-928-0192
Fax Number
631-928-0253
person
Provider Business Mailing Address Details
Address
298 Canal Rd
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-928-0192
Fax Number
631-928-0253
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X006475 (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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