Individual provider · Type 1 NPI
Vincent Paul Detrinis, DC
Chiropractor · Port Jefferson Station, NY
NPI number
1710102165
Active
Practice location
3 Sage Rd
Port Jefferson Station, NY 11776-1817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X4504 (NY) |
Chiropractor: 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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About NPI 1710102165
Vincent Paul Detrinis, DC's National Provider Identifier is 1710102165, issued on Apr 13, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Feb 19, 2010.