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CENTRAL SUFFOLK SPINE & SPORTS CHIROPRACTIC
NPI 1790449643
Chiropractor in Brentwood, NY

Active since October 27, 2021
55 SECOND AVENUE, SUITE 1, BRENTWOOD, NY 11717(631) 617-5733(631) 617-5731 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Suffolk Spine & Sports Chiropractic NPPES

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

CENTRAL SUFFOLK SPINE & SPORTS CHIROPRACTIC (NPI 1790449643) is a healthcare organization registered as a chiropractor in Brentwood, New York and active in the NPI registry since October 2021. The organization lists Matthew Joseph Viso, Partner, as its authorized official.

NPPES Registry Identity

NPI1790449643
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCENTRAL SUFFOLK SPINE & SPORTS CHIROPRACTIC
Location Address55 SECOND AVENUE, SUITE 1Brentwood, NY 11717
Mailing Address55 Second Avenue, Suite 1Brentwood, NY 11717 · (631) 617-5733 · Fax (631) 617-5731
Phone(631) 617-5733
Fax(631) 617-5731
Organization SubpartNo
Authorized OfficialMatthew Joseph VisoPartner · (631) 617-5733
Enumeration DateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1790449643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
55 SECOND AVENUE, Brentwood, NY 11717
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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 NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILUMINADO NIRZA JR. PT
Physical Therapist
55 SECOND AVENUE
BRENTWOOD, NY 11717
Suffolk County (631) 617-5733
LONG ISLAND PEDIATRICS OF BRENTWOOD,P.C.
Pediatrics
55 SECOND AVENUE, SUITE 9
BRENTWOOD, NY 11717
Suffolk County (631) 813-2610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Suffolk Spine & Sports Chiropractic's NPI number?

The NPI number for Central Suffolk Spine & Sports Chiropractic is 1790449643. It was assigned to this organization in the NPPES registry on October 27, 2021.

Where is Central Suffolk Spine & Sports Chiropractic located?

Central Suffolk Spine & Sports Chiropractic is located at 55 Second Avenue Suite 1, Brentwood, NY 11717. The listed phone number is (631) 617-5733.

What is Central Suffolk Spine & Sports Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Central Suffolk Spine & Sports Chiropractic was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.