# JODI L KNOTT CHIROPRACTOR PC

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

## Provider details

- **NPI number:** 1811909286
- **Authorized official:** JODI L KNOTT DC (PRES/CHIROPRACTOR)
- **Authorized official phone:** (631) 692-0779

## Contact information

- **Practice address:** 99 ROUND SWAMP RD, HUNTINGTON, NY 11743-6435
- **Practice address phone:** (631) 692-0779
- **Practice address fax:** (631) 692-0783
- **Mailing address:** 99 ROUND SWAMP RD, HUNTINGTON, NY 11743-6435
- **Mailing address phone:** (631) 692-0779
- **Mailing address fax:** (631) 692-0783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X006504 | NY | Yes |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 05/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 129047 | ACN | NY |
| 01 | — | 5185026 | AETNA/US HEALTH CARE | NY |
| 01 | — | 5897704 | GHI | NY |
| 01 | — | 856310 | UNITED HEALTH CARE | NY |
| 01 | — | C06504 | WORKERS COMP. | NY |
| 01 | — | P938436 | OXFORD | NY |
| 01 | — | X6R341 | EMPIRE BC/BS | NY |