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Organization
LI CHIROPRACTIC AND PHYSICAL THERAPY PLLC
Active
Organization
LI CHIROPRACTIC AND PHYSICAL THERAPY PLLC
Active
Other names
Block Sports Chiropractic and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE BYRNES (BILLING/CREDENTIALING MANAGER)
(631) 543-0004
Entity
Organization
Contact information
Practice address
301 MAPLE AVE, SMITHTOWN, NY 11787-4900
(631) 543-0004
(631) 864-5428
Mailing address
301 MAPLE AVE, SMITHTOWN, NY 11787-4900
(631) 543-0004
(631) 864-5428
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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