Healthcare Provider Details

I. General information

NPI: 1578892543
Provider Name (Legal Business Name): SYOSSET SPORTS THERAPY CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2009
Last Update Date: 12/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 JERICHO TPKE
SYOSSET NY
11791-4489
US

IV. Provider business mailing address

6500 JERICHO TPKE
SYOSSET NY
11791-4489
US

V. Phone/Fax

Practice location:
  • Phone: 516-931-5000
  • Fax: 516-605-0493
Mailing address:
  • Phone: 516-931-5000
  • Fax: 516-605-0493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS J FINN
Title or Position: DOCTOR
Credential: D.C.
Phone: 516-931-5000