Organization
LONG ISLAND CHIROPRACTIC, PHYSICAL THERAPY & NURSE PRACTITIONER IN ADULT HEALTH OF SMITHTOWN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD JOHN WALLACE (CEO)
(516) 509-8602
Entity
Organization
Contact information
Practice address
20 GILBERT AVE, SMITHTOWN, NY 11787-5326
(516) 509-8602
Mailing address
20 GILBERT AVE STE 201, SMITHTOWN, NY 11787-5312
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
02/13/2026
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