# ISLAND LIFE CHIROPRACTIC PAIN CARE PLLC

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

## Provider details

- **NPI number:** 1538477641
- **Authorized official:** DR. DARREN THOMAS MOLLO DC (OWNER)
- **Authorized official phone:** (631) 940-8739

## Contact information

- **Practice address:** 2100 DEER PARK AVE, SUITE 8, DEER PARK, NY 11729-2119
- **Practice address phone:** (631) 940-8739
- **Practice address fax:** (631) 940-8740
- **Mailing address:** 2100 DEER PARK AVE, SUITE 8, DEER PARK, NY 11729-2119
- **Mailing address phone:** (631) 940-8739
- **Mailing address fax:** (631) 940-8740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009495 | NY | Yes |

## Other

- **Enumeration date:** 09/23/2010
- **Last updated:** 09/23/2010