Divine Chiropractic LLC

Chiropractor · Miller Place, NY

Organization Active NPI

NPI number 1235404039

Practice location

465 Route 25a
Suite 1
Miller Place, NY 11764
Phone
(631) 384-2023

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NPI record

NPI
1235404039
Entity type
Organization (Type 2)
Enumeration date
March 13, 2012
Last updated
March 13, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X X011437-1 NY

Authorized official

Name
Dr. Kathleen Carey Clarkin-Dedio, D.C.
Title
Owner
Phone
(631) 384-2023

About Divine Chiropractic LLC

Divine Chiropractic LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 465 Route 25a, Suite 1, Miller Place, NY 11764. The NPI number 1235404039 was assigned on March 13, 2012 and the record was last updated on March 13, 2012.

Divine Chiropractic LLC lists a license in the registry: #X011437-1 (NY) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Kathleen Carey Clarkin-Dedio, D.C., Owner.

Frequently asked questions

What is the NPI number of Divine Chiropractic LLC?

The NPI number is 1235404039.

What is the phone number of Divine Chiropractic LLC?

The phone number listed for the practice location is (631) 384-2023.

Where is Divine Chiropractic LLC located?

465 Route 25a, Suite 1, Miller Place, NY 11764.

What is the taxonomy code for Divine Chiropractic LLC?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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