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Organization
LI CHIROPRACTIC & NURSE PRACTITIONER IN ADULT HEALTH, PLLC
Active
Organization
LI CHIROPRACTIC & NURSE PRACTITIONER IN ADULT HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WALLACE (OWNER)
(631) 360-0170
Entity
Organization
Contact information
Practice address
20 GILBERT AVE STE 201, SMITHTOWN, NY 11787-5312
(631) 360-0170
(631) 724-0984
Mailing address
20 GILBERT AVE STE 201, SMITHTOWN, NY 11787-5312
(631) 360-0170
(631) 724-0984
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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