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COMPLETE CHIROPRACTIC REABILITATION OF PORT JEFFERSON STATION LLC
NPI 1790814333
Chiropractor in Port Jefferson Station, NY

Active since March 02, 2007
671 OLD TOWN RD, PORT JEFFERSON STATION, NY 11776(631) 642-2388 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Complete Chiropractic Reabilitation Of Port Jefferson Station Llc NPPES

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

COMPLETE CHIROPRACTIC REABILITATION OF PORT JEFFERSON STATION LLC (NPI 1790814333) is a healthcare organization registered as a chiropractor in Port Jefferson Station, New York and active in the NPI registry since March 2007. The organization lists Edward Tanza, President, as its authorized official.

NPPES Registry Identity

NPI1790814333
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCOMPLETE CHIROPRACTIC REABILITATION OF PORT JEFFERSON STATION LLC
Location Address671 OLD TOWN RDPort Jefferson Station, NY 11776-4200
Mailing AddressPo Box 66Mount Sinai, NY 11766-0066 · (631) 642-2388
Phone(631) 642-2388
Organization SubpartNo
Authorized OfficialEdward TanzaPresident · (631) 642-2388
Enumeration DateMarch 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790814333 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.

671 OLD TOWN RD, Port Jefferson Station, NY 11776
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

CORE CHIROPRACTIC REHABILITATION PC
Chiropractor
671 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 642-2388
THOMAS ANTHONY FIORDALISI DC
Chiropractor
671 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 642-2388
MARY BARTO L.M.T.
Specialist
671 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 816-4410
PURE CHIROPRACTIC LLC
Chiropractor
671 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 642-2388

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 Complete Chiropractic Reabilitation Of Port Jefferson Station LLC's NPI number?

The NPI number for Complete Chiropractic Reabilitation Of Port Jefferson Station LLC is 1790814333. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Complete Chiropractic Reabilitation Of Port Jefferson Station LLC located?

Complete Chiropractic Reabilitation Of Port Jefferson Station LLC is located at 671 Old Town Rd, Port Jefferson Station, NY 11776. The listed phone number is (631) 642-2388.

What is Complete Chiropractic Reabilitation Of Port Jefferson Station LLC'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 Complete Chiropractic Reabilitation Of Port Jefferson Station LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.