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Chiropractic Of Stony Brook Pllc
Clinic/Center in Port Jefferson Station, New York
NPI 1891838538

Chiropractic Of Stony Brook Pllc is a Clinic/Center based in Port Jefferson Station, NY. Chiropractic Of Stony Brook Pllc practices in Port Jefferson Station, NY. The NPI Number for Chiropractic Of Stony Brook Pllc is 1891838538 and holds a License No. (New York).

The current practice location address for Chiropractic Of Stony Brook Pllc is 1041 Rout 112, Port Jefferson Station, NY and can be reached out via phone at 631-828-4545 and via fax at 631-642-1070.

Location: 1041 Rout 112, Port Jefferson Station, NY, 11776-6000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891838538
Provider Name
Chiropractic Of Stony Brook Pllc
Credential
Provider Entity Type
Organization
Address
1041 Rout 112, Port Jefferson Station, NY, 11776-6000
Phone Number
631-828-4545
Fax Number
631-642-1070
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01738361 05 NY
institution
Provider Business Practice Location Address Details
Address
1041 Rout 112
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-828-4545
Fax Number
631-642-1070
person
Provider Business Mailing Address Details
Address
1041 Rout 112
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-828-4545
Fax Number
631-642-1070
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X005301-1 (New York)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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