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RESTORATION CHIROPRACTIC P.C. NPI 1205039914


NPI Information

NPI: 1205039914
Provider Name: RESTORATION CHIROPRACTIC, P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
45 SYLVAN AVE
MILLER PLACE, NY
ZIP 11764
Phone: (631) 331-3621
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RESTORATION CHIROPRACTIC, P.C. is a chiropractor in Miller Place, 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. RESTORATION CHIROPRACTIC, P.C. NPI is 1205039914. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

45 SYLVAN AVE
MILLER PLACE, NY
ZIP 11764-929
Phone: (631) 331-3621
Fax: (631) 331-3621

The provider's authorized official is Richard Frederick Ebbrecht .
The authorized official title is Owner and has the following contact phone number (516) 526-2793.

The enumeration date for this NPI number is 6/8/2007 and was last updated on 9/4/2007.


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
1111N00000XChiropractorX-010189NEW YORKYes

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

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