# 3 VILLAGE CHIROPRACTIC PLLC

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

## Provider details

- **NPI number:** 1720375488
- **Authorized official:** DR. BRIAN SCOTT ROTH D.C. (CEO)
- **Authorized official phone:** (631) 675-2910

## Contact information

- **Practice address:** 128 OLD TOWN RD, SUITE C, SETAUKET, NY 11733-2064
- **Practice address phone:** (631) 675-2910
- **Practice address fax:** (631) 675-2912
- **Mailing address:** 128 OLD TOWN RD, SUITE C, SETAUKET, NY 11733-2064
- **Mailing address phone:** (631) 675-2910
- **Mailing address fax:** (631) 675-2912

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2011
- **Last updated:** 07/15/2011