Organization Active NPI

Long Island Chiropractic and Sports Therapy, P.C.

  • Chiropractor
  • Lawrence, NY
National Provider Identifier
1003119900
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006608-1 Issued in NY
Legal business name
LONG ISLAND CHIROPRACTIC AND SPORTS THERAPY, P.C.
Practice address
279 Burnside Ave
Lawrence, NY 11559-1112
Phone
(917) 538-7293
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Frank Mandarino
Title
President
Phone
(917) 538-7293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X006608-1 NY Primary

Addresses

Primary practice location

279 Burnside Ave
Lawrence, NY 11559-1112

Mailing address

6934 59TH Dr
Maspeth, NY 11378-2918
Phone (917) 538-7293

National Provider Directory

National Provider Directory

Locations

279 Burnside Ave
Lawrence, NY 11559
Phone (516) 371-3745

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1003119900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 59TH DR",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782918",
            "telephone_number": "917-538-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 BURNSIDE AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591112",
            "telephone_number": "917-538-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND CHIROPRACTIC AND SPORTS THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "MANDARINO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-538-7293",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006608-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.