Organization · Type 2 NPI
Port Jefferson Chiropractic Office PC
Chiropractor · Setauket, NY
NPI number
1174820120
Active
Practice location
416 Route 25A
Setauket, NY 11733-3841
Fax (631) 751-7096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X002824 (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.
2 other providers at this address
Other chiropractor providers in Setauket
About NPI 1174820120
Port Jefferson Chiropractic Office PC's National Provider Identifier is 1174820120, issued on Feb 26, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Setauket, NY. The record was last updated on Feb 26, 2011.