BACK TO HEALTH MEDICINE AND DIAGNOSTICS NPI 1386709178

NPI Information

NPI: 1386709178
Provider Name: BACK TO HEALTH MEDICINE AND DIAGNOSTICS
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1395 ROUTE 44
PLEASANT VALLEY, NY
ZIP 12569
Phone: (845) 635-5002
Get Directions

BACK TO HEALTH MEDICINE AND DIAGNOSTICS is a chiropractor in Pleasant Valley, 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. BACK TO HEALTH MEDICINE AND DIAGNOSTICS NPI is 1386709178. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1395 ROUTE 44
PLEASANT VALLEY, NY
ZIP 12569-830
Phone: (845) 635-5002
Fax: (845) 635-5295

The provider's authorized official is Jay Raymond Decesare .
The authorized official title is Manager and has the following contact phone number (845) 635-5002.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 9/10/2008.

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		X0068561	NEW YORK	No
2	207YX0901X	Otolaryngology	Otology & Neurotology	147245	NEW YORK	No
3	225100000X	Physical Therapist		014665-1	NEW YORK	No
4	225100000X	Physical Therapist		025281-1	NEW YORK	No
5	111N00000X	Chiropractor		X008697	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	WEQ771	MEDICARE PIN	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: 4/28/2024

NPI Synchronization or Removal

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