Ronkonkoma Chiropractic Pc

LBN: Ronkonkoma Chiropractic Pc
Ronkonkoma Chiropractic Pc is an health care organization with primary practice located at 3075 Veterans Memorial Hwy , Ronkonkoma NY 11779-7667. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Ronkonkoma Chiropractic Pc can be contacted via phone (631) 472-2696, or through Faillace, Eugene Russell via phone (631) 472-2696.

Contact Information

Primary practice address
3075 Veterans Memorial Hwy Ronkonkoma NY 11779-7667
Phone: (631) 472-2696
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Faillace, Eugene Russell Doctor of Chiropractic (DC)
Phone: (631) 472-2696

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 110948 New York

Profile Details

NPI number 1649620709
LBN Legal business name Ronkonkoma Chiropractic Pc
DBA Doing business as
Authorized official Faillace, Eugene Russell Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2016
Last updated Jul 28th, 2016 - about 10 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 1649620709 NPPES
New York Other X007958 LICENSE

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