# LI CHIROPRACTIC AND PHYSICAL THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Block Sports Chiropractic and Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871147595
- **Authorized official:** LAURIE BYRNES (BILLING/CREDENTIALING MANAGER)
- **Authorized official phone:** (631) 543-0004

## Contact information

- **Practice address:** 301 MAPLE AVE, SMITHTOWN, NY 11787-4900
- **Practice address phone:** (631) 543-0004
- **Practice address fax:** (631) 864-5428
- **Mailing address:** 301 MAPLE AVE, SMITHTOWN, NY 11787-4900
- **Mailing address phone:** (631) 543-0004
- **Mailing address fax:** (631) 864-5428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 07/31/2019
- **Last updated:** 07/31/2019