WATERBURY CHIROPRACTIC NPI 1801012091

NPI Information

NPI: 1801012091
Provider Name: WATERBURY CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address: TAMARAC PLAZA
3991 RTE 2
CROPSEYVILLE, NY
ZIP 12052
Phone: (518) 279-0183

Map and Directions

Get Directions

NPI Details

WATERBURY CHIROPRACTIC 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. WATERBURY CHIROPRACTIC NPI is 1801012091. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

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

The provider's authorized official is Paula Ruth Waterbury .
The authorized official title is Owner and has the following contact phone number (518) 279-0183.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.

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	CO9923-6B	OTHER	NEW YORK	WORKERS COMP

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI