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Organization

ISLAND CARE CHIROPRACTIC OF SUFFOLK PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROBERTA PEETS DC (VICE PRESIDENT)
(631) 993-5400
Entity
Organization

Contact information

Practice address
100 W SUFFOLK AVE UNIT G, CENTRAL ISLIP, NY 11722-2155
(631) 388-1188
Mailing address
100 W SUFFOLK AVE UNIT G, CENTRAL ISLIP, NY 11722-2155
(631) 993-5400
(631) 203-4468

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184807968
NPI
NY
01
1699954396
NPI
NY
Enumeration date
03/05/2024
Last updated
11/05/2024
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