RENEE M. MOONEY DC PC NPI 1619116852

NPI Information

  • NPI: 1619116852
  • Provider Name: RENEE M. MOONEY DC PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 404 OAK ST STE 30
    SYRACUSE, NY
    ZIP 13203
  • Phone: (315) 425-0009

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NPI Details

RENEE M. MOONEY DC PC is a chiropractor in Syracuse, 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. RENEE M. MOONEY DC PC NPI is 1619116852. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

404 OAK ST STE 30
SYRACUSE, NY
ZIP 13203-998
Phone: (315) 425-0009
Fax: (315) 425-8881

The provider's authorized official is Renee M Mooney .
The authorized official title is President/owner and has the following contact phone number (315) 425-0009.

The enumeration date for this NPI number is 2/11/2009 and was last updated on 3/22/2010.

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
1111N00000XChiropractorX008640NEW YORKYes

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
1U66568MEDICARE UPINNEW YORK
2J100006011OTHERP-10

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: 11/21/2025

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