Organization
ISLAND CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT PASTUCH (VICE PRESIDENT)
(516) 822-1900
Entity
Organization
Contact information
Practice address
131 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4007
(516) 822-1900
Mailing address
131 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4007
(516) 822-1900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X006042
NY
111N00000X
Chiropractor
Primary
X2447
NY
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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