# LAKE GROVE CHIROPRACTIC

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

## Provider details

- **NPI number:** 1407029853
- **Authorized official:** DR. BARBARA IALACCI-PFEIFER D.C. (CHIROPRACTOR)
- **Authorized official phone:** (631) 588-3388

## Contact information

- **Practice address:** 881 HAWKINS AVE, LAKE GROVE, NY 11755-1601
- **Practice address phone:** (631) 588-3388
- **Practice address fax:** (631) 588-5968
- **Mailing address:** 881 HAWKINS AVE, LAKE GROVE, NY 11755-1601
- **Mailing address phone:** (631) 588-3388
- **Mailing address fax:** (631) 588-5968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X006497 | NY | Yes |

## Other

- **Enumeration date:** 04/07/2008
- **Last updated:** 04/07/2008