| Champion Performance And Rehabilitation | |
|
5 S Jersey Ave, East Setauket, NY 11733-2045 | |
| (631) 675-2758 | |
| (631) 675-2760 |
| Full Name | Champion Performance And Rehabilitation |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5 S Jersey Ave, East Setauket, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003118969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 010407 (New York) | Primary |
| Provider Name | James Gucciardi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760547202 PECOS PAC ID: 4587688403 Enrollment ID: I20060118000915 |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Performance And Rehabilitation Po Box 202, Saint James, NY 11780-0202 Ph: (631) 675-2758 | Champion Performance And Rehabilitation 5 S Jersey Ave, East Setauket, NY 11733-2045 Ph: (631) 675-2758 |
Dr. Sean P Trujillo, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 140 Belle Mead Rd, Suite D, East Setauket, NY 11733 Phone: 631-689-8662 Fax: 631-689-5916 | |
Karl G George Dc Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 375 Main Street, East Setauket, NY 11733 Phone: 631-751-0900 Fax: 631-751-0901 | |
Dr. Jack Zangara, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 384 Mark Tree Rd, East Setauket, NY 11733 Phone: 631-561-5185 | |
Dr. Joseph Michael Labbadia, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 140 N Belle Mead Rd, Suite D, East Setauket, NY 11733 Phone: 631-369-4292 Fax: 631-443-4493 | |
Dr. Charles P Levine, CH Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 151 Gnarled Hollow Rd, East Setauket, NY 11733 Phone: 631-689-3232 Fax: 631-941-1096 | |
Dr. Ralph Lindel, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 6 Campus Dr, East Setauket, NY 11733 Phone: 516-818-9262 Fax: 631-689-5759 |