=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245125756
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AJ ACUPUNTURE & CHIROPRACTIC PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/12/2025
-----------------------------------------------------
Last Update Date | 06/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 225 MONTAUK HWY STE 110
-----------------------------------------------------
City | MORICHES
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11955-1411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-786-1960
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12 SADDLEBROOK LN
-----------------------------------------------------
City | MANORVILLE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11949-2510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-786-1960
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MGRM
-----------------------------------------------------
Name | DR. JOSEPH LABBADIA
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 631-786-1960
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------