Individual provider · Type 1 NPI

Jack Lafosse, DC

Chiropractor · Bay Shore, NY

NPI number 1780055996 Active

Practice location

1374 Richland Blvd
Bay Shore, NY 11706-4947

Call (631) 804-9995 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XX009251 (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 1780055996

Jack Lafosse, DC's National Provider Identifier is 1780055996, issued on Oct 14, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bay Shore, NY. The record was last updated on Oct 14, 2015.