MEDICARE: LI INTEGRATED CHIROPRACTIC PHYSICAL THERAPY & ACUPUNCTURE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X35271	NY
2	208100000X	Physical Medicine & Rehabilitation Physician	34073	NY

General Provider Information

NPI Number	:	1992215222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LI INTEGRATED CHIROPRACTIC PHYSICAL THERAPY & ACUPUNCTURE

Provider Business Mailing Address
First Line	:	2805 VETERANS MEMORIAL HWY # 8
Second Line	:
City	:	RONKONKOMA
State	:	NY
Zip	:	11779-7680
Country	:	US
Telephone Number	:	631-738-8300
Fax Number	:	631-738-8500

Provider Business Practice Location Address
First Line	:	2805 VETERANS MEMORIAL HWY STE 8
Second Line	:
City	:	RONKONKOMA
State	:	NY
Zip	:	11779-7680
Country	:	US
Telephone Number	:	631-738-8300
Fax Number	:	631-738-8500

Authorized Official
Title or Position	:	PRESIDENT/MANAGING MM
Name	:	JAMES H LAMBERT
Credential	:	DC
Telephone Number	:	631-738-8300

Provider Enumeration Date	:	09/29/2017
Last Update Date	:	07/21/2022

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Directions to “LI INTEGRATED CHIROPRACTIC PHYSICAL THERAPY & ACUPUNCTURE ” Practice Location

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