Lake Chiropractic, PLLC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X2929 Issued in NY

Legal business name

LAKE CHIROPRACTIC, PLLC.

Practice address

201 Portion Rd
Suite a
Lake Ronkonkoma, NY 11779-4172

Phone

(631) 981-1333

Fax

(631) 981-6766

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Robert Bernardini, DC

Title

Chiropractor/ President

Phone

(631) 981-1333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1972803104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PORTION RD",
            "address_2": "SUITE A",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794172",
            "telephone_number": "631-981-1333",
            "fax_number": "631-981-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PORTION RD",
            "address_2": "SUITE A",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794172",
            "telephone_number": "631-981-1333",
            "fax_number": "631-981-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CHIROPRACTIC, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "BERNARDINI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR/ PRESIDENT",
        "authorized_official_telephone_number": "631-981-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X2929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Patricia Kopf, MSCCC
• Aleksandra Halina Korga, M.A., CF-SLP
• Wendy Kourounis-Sill
• Aaron Kramer, DDS
• Jennifer Kruszewski
• Lake Family Medical Practice PC
• Lake Ronkonkoma Fire District
• Gail Phyllis Lampert
• Leaps and Bounds Consulting Services, Inc.
• Michael Lee, MD

• Chiropractor in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.