RONKONKOMA CHIROPRACTIC PC
NPI 1649620709
Chiropractor in Ronkonkoma, NY

Active since June 20, 2016
3075 VETERANS MEMORIAL HWY, RONKONKOMA, NY 11779(631) 472-2696 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ronkonkoma Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONKONKOMA CHIROPRACTIC PC (NPI 1649620709) is a healthcare organization registered as a chiropractor in Ronkonkoma, New York and active in the NPI registry since June 2016. The organization lists Eugene Russell Faillace, President, as its authorized official.

NPPES Registry Identity

NPI1649620709
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameRONKONKOMA CHIROPRACTIC PC
Location Address3075 VETERANS MEMORIAL HWYRonkonkoma, NY 11779-7667
Mailing Address3075 Veterans Memorial Hwy, Suite 101Ronkonkoma, NY 11779-7667 · (631) 472-2696
Organization SubpartNo
Authorized OfficialEugene Russell FaillacePresident · (631) 472-2696
Enumeration DateJune 20, 2016
Last NPPES UpdateJuly 28, 2016
NPI 1649620709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · 110948
Definition

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.

3075 VETERANS MEMORIAL HWY, Ronkonkoma, NY 11779

Other Identifiers 1

OtherX007958NY · License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinic/Center (Radiology)
3075 VETERANS MEMORIAL HWY, SUITE 160
RONKONKOMA, NY 11779
Radiology (Diagnostic Radiology)
3075 VETERANS MEMORIAL HWY, SUITE 160
RONKONKOMA, NY 11779
Specialist
3075 VETERANS MEMORIAL HWY, SUITE 161
RONKONKOMA, NY 11779
Physical Therapist
3075 VETERANS MEMORIAL HWY, SUITE 101
RONKONKOMA, NY 11779
Home Health
3075 VETERANS MEMORIAL HWY, SUITE 180
RONKONKOMA, NY 11779

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649620709, enumerated as an "organization" on June 20, 2016.

The provider is located at 3075 VETERANS MEMORIAL HWY RONKONKOMA, NY 11779 and the phone number is (631) 472-2696.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.