# BELLPORT CHIROPRACTIC, P.C.

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

## Provider details

- **NPI number:** 1093966327
- **Authorized official:** DR. MICHAEL JOHN STUTO D.C. (CHIROPRACTOR/ PRESIDENT)
- **Authorized official phone:** (631) 286-9410

## Contact information

- **Practice address:** 112 S COUNTRY RD, SUITE 103, BELLPORT, NY 11713-2534
- **Practice address phone:** (631) 286-9410
- **Practice address fax:** (631) 286-6491
- **Mailing address:** 112 S COUNTRY RD, SUITE 103, BELLPORT, NY 11713-2534
- **Mailing address phone:** (631) 286-9410
- **Mailing address fax:** (631) 286-6491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X008989 | NY | Yes |

## Other

- **Enumeration date:** 10/06/2008
- **Last updated:** 09/14/2009