Provider Demographics
NPI:1962189456
Name:ISLAND CHIROPRACTIC & NEXT STEP PHYSICAL THERAPY OF HICKSVILLE, PLLC
Entity type:Organization
Organization Name:ISLAND CHIROPRACTIC & NEXT STEP PHYSICAL THERAPY OF HICKSVILLE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DR BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTUCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-822-1900
Mailing Address - Street 1:131 W OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-4007
Mailing Address - Country:US
Mailing Address - Phone:516-822-1900
Mailing Address - Fax:516-681-3423
Practice Address - Street 1:131 W OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4007
Practice Address - Country:US
Practice Address - Phone:516-822-1900
Practice Address - Fax:516-681-3423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy