# J ON N EIL BRODBECK DC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brodbeck Chiropractic & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356598734
- **Authorized official:** DR. JON NEIL BRODBECK D.C. (CHIROPRACTOR)
- **Authorized official phone:** (631) 345-3035

## Contact information

- **Practice address:** 5976 ROUTE 25A, WADING RIVER, NY 11792-2001
- **Practice address phone:** (631) 345-3035
- **Practice address fax:** (631) 345-3244
- **Mailing address:** 5976 ROUTE 25A, WADING RIVER, NY 11792-2001
- **Mailing address phone:** (631) 345-3035
- **Mailing address fax:** (631) 345-3244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | X4005 | NY | Yes |

## Other

- **Enumeration date:** 08/27/2008
- **Last updated:** 06/01/2023