# BROADWAY CHIROPRACTOC

> 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:** 1023219243
- **Authorized official:** LYNNMARIE CASTELLANO (OFFICE MANAGER)
- **Authorized official phone:** (516) 599-6100

## Contact information

- **Practice address:** 120 BROADWAY, LYNBROOK, NY 11563-3233
- **Practice address phone:** (516) 599-6100
- **Practice address fax:** (516) 593-0406
- **Mailing address:** 120 BROADWAY, LYNBROOK, NY 11563-3233
- **Mailing address phone:** (516) 599-6100
- **Mailing address fax:** (516) 593-0406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X002413-1 | NY | Yes |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 08/22/2020