Organization Active NPI

Long Island Chiropractic P.C.

  • Chiropractor
  • Glen Head, NY
National Provider Identifier
1245532415
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0055941 Issued in NY
Legal business name
LONG ISLAND CHIROPRACTIC P.C.
Doing business as
D'Brant Holistic Chiropractic Clinci
Practice address
977 Glen Cove Avenue
Glen Head, NY 11545
Phone
(516) 609-0890
Fax
(516) 609-0893
NPI assigned
Nov 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Dr. Garry Richard D'Brant, D.C.
Title
President
Phone
(516) 609-0890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X0055941 NY Primary

Addresses

Primary practice location

977 Glen Cove Avenue
Glen Head, NY 11545

Mailing address

977 Glen Cove Avenue
Glen Head, NY 11545
Phone (516) 609-0890

Other names 1

  • D'Brant Holistic Chiropractic Clinci Doing business as

National Provider Directory

National Provider Directory

Locations

977 Glen Cove Ave
Glen Head, NY 11545
Phone (516) 609-0890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1245532415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 GLEN COVE AVENUE",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "11545",
            "telephone_number": "516-609-0890",
            "fax_number": "516-609-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 GLEN COVE AVENUE",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "11545",
            "telephone_number": "516-609-0890",
            "fax_number": "516-609-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "D'BRANT",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-609-0890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0055941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D'Brant Holistic Chiropractic Clinci",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Head, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.