Larisa Granovsky in Philadelphia - Chiropractor
Larisa Granovsky - NPI 1285620757
Larisa Granovsky is a Chiropractor in Philadelphia, Pennsylvania. Larisa Granovsky practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Larisa Granovsky is 1285620757. The last update date is 2007-07-08.
Larisa Granovsky's current location address is 842 Red Lion Rd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2154640404 and fax number 2154640683. The mailing address for Larisa Granovsky is 842 Red Lion Rd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larisa Granovsky |
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Address | 842 Red Lion Rd, Philadelphia, Pennsylvania |
Phone Number | 2154640404 |
Fax Number | 2154640683 |
Sole Proprietor | Y |
Credentials | DC |
NPI Number Detail
NPI Number | 1285620757 |
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Provider Enumeration Date | 2005-09-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 842 Red Lion Rd |
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City | Philadelphia |
State | Pennsylvania (PA) |
Post Code | 191151475 |
Phone Number | 2154640404 |
Fax Number | 2154640683 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | DC-006295-L |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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15288270001 | PA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Larisa Granovsky by the Centers for Medicare & Medicaid Services?
The Larisa Granovsky has been issued the NPI (National Provider Identifier) 1285620757. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Larisa Granovsky is located?
The Larisa Granovsky is situated at the following address: 842 Red Lion Rd, Philadelphia, PA, 191151475.
What is Larisa Granovsky's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larisa Granovsky's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285620757 to Larisa Granovsky?
The Centers for Medicare & Medicaid Services originally issued the 1285620757 to Larisa Granovsky on 2005-09-21.
As of what date were the details related to Larisa Granovsky most recently updated or revised?
The information pertaining to Larisa Granovsky, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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