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Organization
LI CHIROPRACTIC AND PHYSICAL THERAPY PLLC
Active
Organization
LI CHIROPRACTIC AND PHYSICAL THERAPY PLLC
Active
Other names
Block Sports Chiropractic and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M BLOCK DABCO (PRESIDENT)
(631) 543-0004
Entity
Organization
Contact information
Practice address
301 MAPLE AVE, SMITHTOWN, NY 11787
(631) 543-0004
(631) 864-5428
Mailing address
301 MAPLE AVE, SMITHTOWN, NY 11787
(631) 543-0004
(631) 864-5428
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X008466-1
NY
111NX0800X
Orthopedic Chiropractor
Primary
X006746-1
NY
Other
Enumeration date
04/15/2008
Last updated
07/25/2019
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