BROADWAY CHIROPRACTIC DIAGNOSTIC AND REHABILITATION P.C. NPI 1275952822

NPI Information

NPI: 1275952822
Provider Name: BROADWAY CHIROPRACTIC DIAGNOSTIC AND REHABILITATION P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
333 BROADWAY STE 2
AMITYVILLE, NY
ZIP 11701
Phone: (631) 789-1900
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BROADWAY CHIROPRACTIC DIAGNOSTIC AND REHABILITATION P.C. is a chiropractor in Amityville, 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. BROADWAY CHIROPRACTIC DIAGNOSTIC AND REHABILITATION P.C. NPI is 1275952822. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 BROADWAY STE 2
AMITYVILLE, NY
ZIP 11701-719
Phone: (631) 789-1900

The provider's authorized official is Michael Gramse .
The authorized official title is President/owner and has the following contact phone number (631) 789-1900.

The enumeration date for this NPI number is 4/10/2014 and was last updated on 4/10/2014.

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		X007459	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
1	02420208	MEDICAID	NEW YORK
2	X5T791	MEDICARE PIN	NEW YORK
3	U49201	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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