OrganizationActive
East End Sports Chiropractic, PC
NPI 1215280276 · Sports Physician Chiropractor · Sag Harbor, NY
Provider details
- NPI number
- 1215280276
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Stephen Petruccelli, Chiropractor/Owner(631) 725-8209
- License
- X010203-1 (NY)
Specialties & taxonomies
Chiropractic Providers
Practice location
39 Division St
Ground Flr, 2nd Offc From Rear
Sag Harbor, NY 11963-3156
Phone: (631) 725-8209
Fax: (631) 919-1592
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2902
Sag Harbor, NY 11963-0401
Registry dates
- Enumerated
- 2012-10-16
- Last updated
- 2012-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.