# LONG ISLAND CHIROPRACTIC, PHYSICAL THERAPY & NURSE PRACTITIONER IN ADULT HEALTH OF SMITHTOWN, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1013720713
- **Authorized official:** DONALD JOHN WALLACE (CEO)
- **Authorized official phone:** (516) 509-8602

## Contact information

- **Practice address:** 20 GILBERT AVE, SMITHTOWN, NY 11787-5326
- **Practice address phone:** (516) 509-8602
- **Mailing address:** 20 GILBERT AVE STE 201, SMITHTOWN, NY 11787-5312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | Yes |
| 111NR0400X | Rehabilitation Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2025
- **Last updated:** 02/13/2026