Organization
OCEAN AVENUE CHIROPRACTIC P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WILLIAM SMITH D.C (PRESIDENT)
(631) 737-4676
Entity
Organization
Contact information
Practice address
700 UNION PKWY STE 3, RONKONKOMA, NY 11779-7427
(631) 737-4676
(631) 737-1261
Mailing address
700 UNION PKWY STE 3, RONKONKOMA, NY 11779-7427
(631) 737-4676
(631) 737-1261
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X-009025
NY
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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