# ISLAND CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1649468430
- **Authorized official:** DR. BRETT PASTUCH (VICE PRESIDENT)
- **Authorized official phone:** (516) 822-1900

## Contact information

- **Practice address:** 131 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4007
- **Practice address phone:** (516) 822-1900
- **Mailing address:** 131 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4007
- **Mailing address phone:** (516) 822-1900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X006042 | NY | — |
| 111N00000X | Chiropractor | X2447 | NY | Yes |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 10/05/2007