Valley Stream Chiropractor Pc in Valley Stream - Chiropractor
Valley Stream Chiropractor Pc - NPI 1972780039
Valley Stream Chiropractor Pc is a Chiropractor in Valley Stream, New York. Valley Stream Chiropractor Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Valley Stream Chiropractor Pc is 1972780039. The last update date is 2008-01-30.
Valley Stream Chiropractor Pc's current location address is 1190 Dutch Broadway, Valley Stream, New York. You can contact this provider via phone number 5165611333 and fax number 4405081333. The mailing address for Valley Stream Chiropractor Pc is 1190 Dutch Broadway, Valley Stream, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Valley Stream Chiropractor Pc |
|---|---|
| Address | 1190 Dutch Broadway, Valley Stream, New York |
| Phone Number | 5165611333 |
| Fax Number | 4405081333 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Marks Vincent Robert |
| Credentials | DC |
| Telephone Number | 5165611333 |
NPI Number Detail
| NPI Number | 1972780039 |
|---|---|
| Provider Enumeration Date | 2008-01-30 |
| Last Updated Date | 2008-01-30 |
Provider Mailing Address Detail
| Address | 1190 Dutch Broadway |
|---|---|
| City | Valley Stream |
| State | New York (NY) |
| Post Code | 115801559 |
| Phone Number | 5165611333 |
| Fax Number | 4405081333 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | X008044 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the Valley Stream Chiropractor Pc's unique identification number?
The Valley Stream Chiropractor Pc has been assigned the NPI (National Provider Identifier) Number 1972780039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Valley Stream Chiropractor Pc located?
The Valley Stream Chiropractor Pc is located at 1190 Dutch Broadway, Valley Stream, NY 115801559.
What is Valley Stream Chiropractor Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Valley Stream Chiropractor Pc is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972780039 to Valley Stream Chiropractor Pc?
The Centers for Medicare & Medicaid Services originally issued the 1972780039 to Valley Stream Chiropractor Pc on 2008-01-30.
When was the information related to Valley Stream Chiropractor Pc most recently updated or refreshed?
The details pertaining to the Valley Stream Chiropractor Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-30.
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