Ira Grushack is a Sports Physician in Long Beach, New York. Ira Grushack practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Ira Grushack is 1407896897. The last update date is 2007-07-08.
Ira Grushack's current location address is 714 E Park Ave, Long Beach, New York. You can contact this provider via phone number 5164317972 and fax number 5164317944. The mailing address for Ira Grushack is 714 E Park Ave, Long Beach, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ira Grushack |
---|---|
Address | 714 E Park Ave, Long Beach, New York |
Phone Number | 5164317972 |
Fax Number | 5164317944 |
Sole Proprietor | X |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1407896897 |
---|---|
Provider Enumeration Date | 2006-06-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 714 E Park Ave |
---|---|
City | Long Beach |
State | New York (NY) |
Post Code | 115612605 |
Phone Number | 5164317972 |
Fax Number | 5164317944 |
Provider's Primary Taxonomy Detail
Speciality | Sports Physician |
---|---|
Taxonomy | 111Ns0005X |
Licence No | 3174 |
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
321281 | NY | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ira Grushack by the Centers for Medicare & Medicaid Services?
The Ira Grushack has been issued the NPI (National Provider Identifier) 1407896897 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Ira Grushack is physically located?
The Ira Grushack is situated at the following address: 714 E Park Ave, Long Beach, NY 115612605.
What is the Ira Grushack's specialty and taxonomy code?
The Ira Grushack's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did Ira Grushack receive its 1407896897 assignment from the Centers for Medicare & Medicaid Services?
The Ira Grushack was assigned its 1407896897 on 2006-06-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Ira Grushack most recently updated?
The details pertaining to the Ira Grushack, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA