DR. PAULA RUTH WATERBURY DC NPI 1174606651

NPI Information

NPI: 1174606651
Provider Name: DR. PAULA RUTH WATERBURY, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
TAMARAC PLAZA
3991 ROUTE 2
CROPSEYVILLE, NY
ZIP 12052
Phone: (518) 279-0183
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DR. Paula Ruth Waterbury, DC is a chiropractor in Cropseyville, NY. The provider is 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 interrelationship with other body systems. DR. Paula Ruth Waterbury, DC NPI is 1174606651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

TAMARAC PLAZA
3991 ROUTE 2
CROPSEYVILLE, NY
ZIP 12052
Phone: (518) 279-0183
Fax: (518) 279-0701

The enumeration date for this NPI number is 10/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		X009923-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10058438	OTHER	NEW YORK	CDPHP
2	X31301141830952	OTHER	NEW YORK	BC/BS
3	CC5753	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MEDICARE
4	CO9923-6B	OTHER	NEW YORK	WORKERS COMPENSATION
5	U85197	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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