# LI CHIROPRACTIC & NURSE PRACTITIONER IN ADULT HEALTH, PLLC

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

## Provider details

- **NPI number:** 1245184266
- **Authorized official:** DONALD WALLACE (OWNER)
- **Authorized official phone:** (631) 360-0170

## Contact information

- **Practice address:** 20 GILBERT AVE STE 201, SMITHTOWN, NY 11787-5312
- **Practice address phone:** (631) 360-0170
- **Practice address fax:** (631) 724-0984
- **Mailing address:** 20 GILBERT AVE STE 201, SMITHTOWN, NY 11787-5312
- **Mailing address phone:** (631) 360-0170
- **Mailing address fax:** (631) 724-0984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 02/25/2026
- **Last updated:** 02/25/2026