Provider Demographics
NPI:1407125305
Name:HURRICANE CHIROPRACTIC PC
Entity Type:Organization
Organization Name:HURRICANE CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LABBADIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:904-290-1846
Mailing Address - Street 1:999 MONTAUK HWY UNIT 32
Mailing Address - Street 2:#135
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-2155
Mailing Address - Country:US
Mailing Address - Phone:631-369-4292
Mailing Address - Fax:904-417-7177
Practice Address - Street 1:1 MONTAUK HWY
Practice Address - Street 2:UNIT B
Practice Address - City:WESTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11977-1238
Practice Address - Country:US
Practice Address - Phone:631-369-4292
Practice Address - Fax:904-417-7177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70 008936111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty