# ISLAND ACTIVE RELEASE AND SPORTS CHIROPRACTIC

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

## Provider details

- **NPI number:** 1497984322
- **Authorized official:** DR. KEVIN DALE TOSS DC (OWNER)
- **Authorized official phone:** (917) 755-7088

## Contact information

- **Practice address:** 91 FOSTER RD, STATEN ISLAND, NY 10309-3014
- **Practice address phone:** (917) 755-7088
- **Practice address fax:** (973) 777-6963
- **Mailing address:** 8 CORTELYOU AVE, STATEN ISLAND, NY 10312-2104
- **Mailing address phone:** (917) 755-7088
- **Mailing address fax:** (973) 777-6963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009584-1 | NY | Yes |

## Other

- **Enumeration date:** 07/13/2009
- **Last updated:** 07/13/2009