Organization
LI CHIROPRACTIC AND PHYSICAL THERAPY PLLC
Active
Other names
Block Sports Chiropractic and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M BLOCK DABCO (PRESIDENT)
(631) 543-0004
Entity
Organization
Contact information
Practice address
301 MAPLE AVE, SMITHTOWN, NY 11787
(631) 543-0004
(631) 864-5428
Mailing address
301 MAPLE AVE, SMITHTOWN, NY 11787
(631) 543-0004
(631) 864-5428
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X008466-1
NY
111NX0800X
Orthopedic Chiropractor
Primary
X006746-1
NY
Other
Enumeration date
04/15/2008
Last updated
07/25/2019
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