# FUNCTIONAL CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1538586177
- **Authorized official:** DR. ROBERTA FIORDALISI DC (PRESIDENT)
- **Authorized official phone:** (631) 388-1188

## Contact information

- **Practice address:** 47 ROUTE 25A, ROCKY POINT, NY 11778-8846
- **Practice address phone:** (631) 388-1188
- **Mailing address:** PO BOX 312, MOUNT SINAI, NY 11766-0312
- **Mailing address phone:** (631) 388-1188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 70009368 | NY | Yes |

## Other

- **Enumeration date:** 03/20/2014
- **Last updated:** 03/20/2014