# SOUTH SHORE CHIROPRACTIC AND PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1124997994
- **Authorized official:** DR. MICHAEL SMALL DC (OWNER)
- **Authorized official phone:** (631) 231-5200

## Contact information

- **Practice address:** 1646 BRENTWOOD RD, BRENTWOOD, NY 11717-5534
- **Practice address phone:** (631) 231-5200
- **Practice address fax:** (631) 231-4431
- **Mailing address:** 1646 BRENTWOOD RD, BRENTWOOD, NY 11717-5534
- **Mailing address phone:** (631) 231-5200
- **Mailing address fax:** (631) 231-4431

## Taxonomy

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

## Other

- **Enumeration date:** 10/31/2025
- **Last updated:** 10/31/2025