OrganizationCole Chiropractic PcChiropractorChiropractic ProvidersPractice Address570 Expressway Dr S, Medford, NY 11763-2049(631) 438-0355(516) 319-3839PECOS EnrollmentBased on the most recent information from CMS, provider Cole Chiropractic Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1841533734Provider TypeOrganizationFull NameCole Chiropractic PcSubpartNoEnumeration Date3/29/2013Last Updated3/29/2013Contact InformationPractice LocationPractice Address570 Expressway Dr S, Medford, NY 11763-2049Phone(631) 438-0355FaxUnlisted FaxMailing LocationMailing Address71 Fawn Dr, East Islip, NY 11730-3709Phone(516) 319-3839FaxUnlisted FaxAuthorized OfficialNamePellegrino, Raymond (President)Phone(516) 319-3839Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseUnlisted Issuer