Healthcare Provider Details

I. General information

NPI: 1285787473
Provider Name (Legal Business Name): SAXON CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 E MAIN ST STE 6
EAST ISLIP NY
11730-2800
US

IV. Provider business mailing address

369 E MAIN ST STE 6
EAST ISLIP NY
11730-2800
US

V. Phone/Fax

Practice location:
  • Phone: 631-968-8300
  • Fax: 631-968-8366
Mailing address:
  • Phone: 631-968-8300
  • Fax: 631-968-8366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX005682-1
License Number StateNY

VIII. Authorized Official

Name: DR. ANTHONY CASTELLINO
Title or Position: DIRECTOR
Credential: D.C., C.C.S.P.
Phone: 631-968-8300