Provider Demographics
NPI:1710453667
Name:ACUPUNCTURE & CHIROPRACTIC ASSOCIATES OF LONG ISLAND PLLC
Entity type:Organization
Organization Name:ACUPUNCTURE & CHIROPRACTIC ASSOCIATES OF LONG ISLAND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-334-7000
Mailing Address - Street 1:1065 OLD COUNTRY RD STE 214
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-5628
Mailing Address - Country:US
Mailing Address - Phone:516-334-7000
Mailing Address - Fax:516-334-7082
Practice Address - Street 1:1065 OLD COUNTRY RD STE 214
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-5628
Practice Address - Country:US
Practice Address - Phone:631-334-7000
Practice Address - Fax:516-334-7082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-18
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty