# ISLAND FAMILY CHIROPRACTIC WELLNESS PLLC

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

## Provider details

- **NPI number:** 1861823577
- **Authorized official:** DR. GLENN M. GIBSON D.C. (OWNER)
- **Authorized official phone:** (845) 663-8299

## Contact information

- **Practice address:** 400 KINGS MALL CT, KINGSTON, NY 12401-1578
- **Practice address phone:** (846) 663-8299
- **Mailing address:** 62 CLOVER ST, WEST HURLEY, NY 12491-6019
- **Mailing address phone:** (845) 663-8299

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2013
- **Last updated:** 12/02/2022