# NORTH SHORE NEUROFEEDBACK

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

## Provider details

- **NPI number:** 1407497191
- **Authorized official:** DR. STACIE LOCASCIO DC (PRESIDENT)
- **Authorized official phone:** (516) 903-4599

## Contact information

- **Practice address:** 480 FOREST AVE LOWR LEVEL, LOCUST VALLEY, NY 11560-2151
- **Practice address phone:** (516) 903-4599
- **Mailing address:** 124 WOOLSEY AVE, GLEN COVE, NY 11542-1808
- **Mailing address phone:** (516) 903-4599

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2019
- **Last updated:** 10/03/2019