Island South Chiropractic Pc

LBN: Island South Chiropractic Pc
Island South Chiropractic Pc is an health care organization with primary practice located at 91 Foster Rd , Staten Island NY 10309. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Island South Chiropractic Pc can be contacted via phone (718) 966-7000, or through Bergin, Justin L via phone (718) 966-7000.

Contact Information

Primary practice address
91 Foster Rd Staten Island NY 10309
Phone: (718) 966-7000
Fax: (718) 317-7452
Website:
Map and Directions
Authorized official contact:
Name: Bergin, Justin L Doctor of Chiropractic (DC)
Phone: (718) 966-7000

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X010715NY New York

Profile Details

NPI number 1639208200
LBN Legal business name Island South Chiropractic Pc
DBA Doing business as
Authorized official Bergin, Justin L Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639208200 NPPES
New York Other 7929464 AETNA
New York Other P2952873 AETNA
New York Other P2952873 AETNA

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