# OCEAN AVENUE CHIROPRACTIC P.C

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

## Provider details

- **NPI number:** 1225155948
- **Authorized official:** DR. MICHAEL WILLIAM SMITH D.C (PRESIDENT)
- **Authorized official phone:** (631) 737-4676

## Contact information

- **Practice address:** 700 UNION PKWY STE 3, RONKONKOMA, NY 11779-7427
- **Practice address phone:** (631) 737-4676
- **Practice address fax:** (631) 737-1261
- **Mailing address:** 700 UNION PKWY STE 3, RONKONKOMA, NY 11779-7427
- **Mailing address phone:** (631) 737-4676
- **Mailing address fax:** (631) 737-1261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X-009025 | NY | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020