Advanced Chiropractic of Shirley, PC

Organization Active NPI Sports Physician Chiropractor · Shirley, NY

NPI 1720113236 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1720113236
Entity type
Organization (NPI type 2)
Primary specialty
Sports Physician Chiropractor 111NS0005X
License
X009749-1 (NY)
Legal business name
ADVANCED CHIROPRACTIC OF SHIRLEY, PC
Practice address
691 Montauk Hwy
Shirley, NY 11967-2123
Phone
(631) 281-1200
Fax
(631) 506-8429
NPI assigned
Feb 23, 2007
Organization subpart
No

Authorized official

Name
Dr. Christopher Wayrich, DC
Title
Chiropractor
Phone
(631) 281-1200

Practitioners 1

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

National Provider Directory

Locations

691 Montauk Hwy
Shirley, NY 11967
Phone (631) 281-1200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111NS0005X X009749-1 NY Yes

Addresses

Primary practice location

691 Montauk Hwy
Shirley, NY 11967-2123

Mailing address

691 Montauk Hwy
Shirley, NY 11967-2123
Phone (631) 281-1200

Other providers in Shirley, NY

All providers in Shirley, NY · Sports Physician Chiropractor in New York

Sources for this page

Verify at the official NPI Registry.