Community Chiropractic Care, Pc | |
1941 Deer Park Ave Ste A, Deer Park, NY 11729-3326 | |
(631) 254-0155 | |
(631) 254-0157 |
Full Name | Community Chiropractic Care, Pc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1941 Deer Park Ave Ste A, Deer Park, 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 |
---|---|---|---|
1619134871 | NPI | - | NPPES |
925262 | Other | NY | EMPIRE PLAN - NYS |
P33825437 | Other | NY | MULTIPLAN |
925262 | Other | NY | UHC |
37978P | Other | NY | HIP |
5801673 | Other | NY | GHI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | X006940-1 (New York) | Primary |
Provider Name | Robert James Mcevoy |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619027745 PECOS PAC ID: 8123198546 Enrollment ID: I20080528000332 |
Provider Name | Thomas P Tini |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1386781003 PECOS PAC ID: 9537209267 Enrollment ID: I20091210000518 |
Mailing Address | Practice Location Address |
---|---|
Community Chiropractic Care, Pc 1428 Deer Park Ave, North Babylon, NY 11703-1611 Ph: (631) 254-0155 | Community Chiropractic Care, Pc 1941 Deer Park Ave Ste A, Deer Park, NY 11729-3326 Ph: (631) 254-0155 |
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