Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Complete Chiropractic Reabilitation of Port Jefferson Station LLC

Organization Chiropractor · NPI 1790814333

Complete Chiropractic Reabilitation of Port Jefferson Station LLC is a Chiropractor in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

671 Old Town Rd
Port Jefferson Station, NY 11776-4200
Phone: (631) 642-2388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X (NY)

Record details

NPI number1790814333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Tanza — President · (631) 642-2388
NPI enumeratedMarch 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 66, Mount Sinai, NY 11766-0066

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