Organization Active NPI

Long Island Chiropractic, P.C.

  • Nutritionist
  • Glen Cove, NY
National Provider Identifier
1326589094
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
LONG ISLAND CHIROPRACTIC, P.C.
Practice address
10 Cedar Swamp Rd
Suite 3
Glen Cove, NY 11542-3700
Phone
(516) 609-0890
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Mr. Garry D'Brant, DCNPI 1659443901
Title
President
Phone
(516) 609-0890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

10 Cedar Swamp Rd
Suite 3
Glen Cove, NY 11542-3700

Mailing address

10 Cedar Swamp Rd
Suite 3
Glen Cove, NY 11542-3700
Phone (516) 609-0890

National Provider Directory

National Provider Directory

Locations

10 Cedar Swamp Rd
Ste 3
Glen Cove, NY 11542
Phone (516) 220-8073

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1326589094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CEDAR SWAMP RD",
            "address_2": "SUITE 3",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423700",
            "telephone_number": "516-609-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CEDAR SWAMP RD",
            "address_2": "SUITE 3",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423700",
            "telephone_number": "516-609-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "D'BRANT",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-609-0890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.