NPI 1003119900

Long Island Chiropractic and Sports Therapy, P.C.

Organisation Chiropractor Lawrence, NY

Practice location

Address: 279 Burnside Ave, Lawrence, NY 11559-1112
Phone: (917) 538-7293
Mailing address: 6934 59th Dr, Maspeth, NY 11378-2918

Authorised official

Name: Frank Mandarino
Title: President
Phone: (917) 538-7293

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence X006608-1 (NY)

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Registry record

NPI: 1003119900
Entity type: Organization
NPI issued: 15 Dec 2010
Record last updated: 15 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.