# ISLAND CARE CHIROPRACTIC OF SUFFOLK PC

> 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:** 1033976147
- **Authorized official:** MS. ROBERTA PEETS DC (VICE PRESIDENT)
- **Authorized official phone:** (631) 993-5400

## Contact information

- **Practice address:** 100 W SUFFOLK AVE UNIT G, CENTRAL ISLIP, NY 11722-2155
- **Practice address phone:** (631) 388-1188
- **Mailing address:** 100 W SUFFOLK AVE UNIT G, CENTRAL ISLIP, NY 11722-2155
- **Mailing address phone:** (631) 993-5400
- **Mailing address fax:** (631) 203-4468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2024
- **Last updated:** 11/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1184807968 | NPI | NY |
| 01 | — | 1699954396 | NPI | NY |