# ISLAND REHABILITATION CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1891812095
- **Authorized official:** DR. CHRISTOPHER T FOGLIA DC (CHIROPRACTOR)
- **Authorized official phone:** (631) 750-9290

## Contact information

- **Practice address:** 4875 SUNRISE HWY, SUITE 200, BOHEMIA, NY 11716-4611
- **Practice address phone:** (631) 750-9290
- **Practice address fax:** (631) 750-9291
- **Mailing address:** 6 OLD FIELD WOODS RD, SETAUKET, NY 11733-1618
- **Mailing address phone:** (631) 750-9290
- **Mailing address fax:** (631) 750-9291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X007116 | NY | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 08/22/2020