National Provider Identifier Database

CORE CHIROPRACTIC REHABILITATION PC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

CORE CHIROPRACTIC REHABILITATION PC
671 OLD TOWN RD
PORT JEFFERSON STATION, NY11776-4200
Phone: 631-642-2388
Fax: 631-642-2011
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for CORE CHIROPRACTIC REHABILITATION PC

NPI Number 1518148089
Legal business name
LBN
CORE CHIROPRACTIC REHABILITATION PC
Authorized official ROBERTA FIORDALISI - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/26/2007
Last updated 05/02/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 009368
  • NY License #: 010226

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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