Suffolk Chiropractic Rehabilitation, P.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

X3391 Issued in NY

Legal business name

SUFFOLK CHIROPRACTIC REHABILITATION, P.C.

Practice address

439 William Floyd Pkwy
Suite E
Shirley, NY 11967-3466

Phone

(631) 772-7000

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gary M Stein, D.C.

Title

Owner

Phone

(631) 772-7000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1962878454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 SUITE E WILLIAM FLOYD PARKWAY",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119670000",
            "telephone_number": "631-772-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 WILLIAM FLOYD PKWY",
            "address_2": "SUITE E",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673466",
            "telephone_number": "631-772-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK CHIROPRACTIC REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-772-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X3391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Steward, LIFE COACH, MA-HSC
• Kylie Maureen Stewart, RN
• Stop & Shop Supermarket Company LLC
• Kolton Stow, PT
• Suffolk Chiropractic Rehabilitation & Physical Therapy PLLC
• Suffolk Home Care LLC
• Suffolk Surgery Center LLC
• Ramsha Suhail, MHC
• Krystal Sukhdeo, PA
• Sun River Health Inc

• Sports Physician Chiropractor in Shirley, NY
• Providers in Shirley, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.