LAKE CHIROPRACTIC, PLLC. - NPI 1972803104 - Chiropractor in Lake Ronkonkoma, NY

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

On this page

About Lake Chiropractic, Pllc. NPPES

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

LAKE CHIROPRACTIC, PLLC. (NPI 1972803104) is a healthcare organization registered as a chiropractor in Lake Ronkonkoma, New York and active in the NPI registry since October 2010. The organization lists Ronald Robert Bernardini, Chiropractor/ President, as its authorized official.

NPPES Registry Identity

NPI1972803104

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameLAKE CHIROPRACTIC, PLLC.

Location Address201 PORTION RD, SUITE ALake Ronkonkoma, NY 11779-4172

Mailing Address201 Portion Rd, Suite ALake Ronkonkoma, NY 11779-4172 · (631) 981-1333 · Fax (631) 981-6766

Phone(631) 981-1333

Fax(631) 981-6766

Organization SubpartNo

Authorized OfficialRonald Robert BernardiniChiropractor/ President · (631) 981-1333

Enumeration DateOctober 21, 2010

✔ NPI 1972803104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NY · X2929

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.

201 PORTION RD, Lake Ronkonkoma, NY 11779

Open in Google Maps ↗

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