# HEAD TO TOE CHIROPRACTIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optimum Chiropractic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508306333
- **Authorized official:** DR. SUSAN TARA MACKEY D.C. (OWNER)
- **Authorized official phone:** (631) 689-0049

## Contact information

- **Practice address:** 2500 NESCONSET HIGHWAY, BUILDING 9B, STONY BROOK, NY 11790
- **Practice address phone:** (631) 689-0049
- **Practice address fax:** (631) 689-0071
- **Mailing address:** 2500 NESCONSET HIGHWAY, BUILDING 9B, STONY BROOK, NY 11790
- **Mailing address phone:** (631) 689-0049
- **Mailing address fax:** (631) 689-0071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X007538-1 | NY | Yes |

## Other

- **Enumeration date:** 02/27/2017
- **Last updated:** 02/27/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5899840 | GHI | — |
| 01 | — | C075384 | WORKERS COMPENSATION | NY |
| 01 | — | X97331 | BC/BS | — |