Healthcare Provider Details

I. General information

NPI: 1184589673
Provider Name (Legal Business Name): WEST BEECH CHIROPRACTIC IMAGING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 W BEECH ST
LONG BEACH NY
11561-1203
US

IV. Provider business mailing address

5513 MERRICK RD
MASSAPEQUA NY
11758-6215
US

V. Phone/Fax

Practice location:
  • Phone: 516-889-6900
  • Fax: 516-897-5833
Mailing address:
  • Phone: 516-764-2222
  • Fax: 516-764-7314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN MILONE
Title or Position: PRESIDENT
Credential: DC
Phone: 516-764-2222