# LONG ISLAND CHIROPRACTIC AND SPORTS THERAPY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003119900
- **Authorized official:** DR. FRANK MANDARINO (PRESIDENT)
- **Authorized official phone:** (917) 538-7293

## Contact information

- **Practice address:** 279 BURNSIDE AVE, LAWRENCE, NY 11559-1112
- **Practice address phone:** (917) 538-7293
- **Mailing address:** 6934 59TH DR, MASPETH, NY 11378-2918
- **Mailing address phone:** (917) 538-7293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X006608-1 | NY | Yes |

## Other

- **Enumeration date:** 12/15/2010
- **Last updated:** 12/15/2010