=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255287108
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BREEZY CHIROPRACTIC PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2026
-----------------------------------------------------
Last Update Date | 03/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 122 W ROE BLVD
-----------------------------------------------------
City | PATCHOGUE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11772-2569
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-213-9020
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 122 W ROE BLVD
-----------------------------------------------------
City | PATCHOGUE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11772-2569
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-213-9020
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIROPRACTOR
-----------------------------------------------------
Name | BRIANNA SALVIA
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 631-213-9020
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------