3 Village Chiropractic PLLC
Organization Active NPI Chiropractor · Setauket, NY
NPI 1720375488 · NPPES record last updated Jul 15, 2011
Key facts
- NPI
- 1720375488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- 3 VILLAGE CHIROPRACTIC PLLC
- Practice address
- 128 Old Town Rd
Suite C
Setauket, NY 11733-2064 - Phone
- (631) 675-2910
- Fax
- (631) 675-2912
- NPI assigned
- Jul 1, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian Scott Roth, D.C.
- Title
- Ceo
- Phone
- (631) 675-2910
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
128 Old Town Rd
Suite C
Setauket, NY 11733-2064
Mailing address
128 Old Town Rd
Suite C
Setauket, NY 11733-2064
Phone (631) 675-2910
Other providers in Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.