| Decrescenzo Chiropractic, Inc. | |
|
160 Taunton Ave, East Providence, RI 02914-4533 | |
| (401) 435-2002 | |
| (401) 435-3553 |
| Full Name | Decrescenzo Chiropractic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 160 Taunton Ave, East Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013036326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC395 (Rhode Island) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Ronald J Tyszkowski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336187004 PECOS PAC ID: 2466442983 Enrollment ID: I20040517000603 |
| Provider Name | Amy M Malek |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730286329 PECOS PAC ID: 8628033883 Enrollment ID: I20041130000157 |
| Provider Name | Gregg A Medeiros |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568545580 PECOS PAC ID: 5890792923 Enrollment ID: I20061101000519 |
| Provider Name | Shadi Shakoori |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770693970 PECOS PAC ID: 0042229031 Enrollment ID: I20111017000124 |
| Provider Name | Gregory Decrescenzo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255441465 PECOS PAC ID: 4486780897 Enrollment ID: I20111017000153 |
| Provider Name | Annie M Ganemian |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164845574 PECOS PAC ID: 5092946921 Enrollment ID: I20140318001356 |
| Provider Name | Justin L Belanger |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003393901 PECOS PAC ID: 1456600238 Enrollment ID: I20180828002466 |
| Provider Name | Mark F Medeiros |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114996717 PECOS PAC ID: 7416979455 Enrollment ID: I20190528000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Decrescenzo Chiropractic, Inc. 160 Taunton Ave., East Providence, RI 02914-4533 Ph: (401) 435-2002 | Decrescenzo Chiropractic, Inc. 160 Taunton Ave, East Providence, RI 02914-4533 Ph: (401) 435-2002 |
Dr. Annie Ganemian, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 160 Taunton Ave, East Providence, RI 02914 Phone: 401-435-2002 | |
Christopher Hazard, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 160 Taunton Ave, East Providence, RI 02914 Phone: 401-435-2002 Fax: 401-435-3553 | |
Dr. Gregory Decrescenzo, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 176 Taunton Ave, East Providence, RI 02914 Phone: 401-435-2002 Fax: 401-435-3553 | |
Dr. Barbara Jeanine Hess, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2464 Pawtucket Ave, East Providence, RI 02914 Phone: 401-421-0226 | |
Danielle L Botelho, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 160 Taunton Ave, East Providence, RI 02914 Phone: 401-435-2002 Fax: 401-435-3553 | |
Miller Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 863 Broadway, East Providence, RI 02914 Phone: 401-434-3000 Fax: 401-434-3113 |