Island Active Release And Sports Chiropractic | |
91 Foster Rd, Staten Island, NY 10309-3014 | |
(917) 755-7088 | |
(973) 777-6963 |
Full Name | Island Active Release And Sports Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 91 Foster Rd, Staten Island, 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 |
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1497984322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | X009584-1 (New York) | Primary |
Provider Name | Kevin D Toss |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336320274 PECOS PAC ID: 6800857962 Enrollment ID: I20090806000387 |
Mailing Address | Practice Location Address |
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Island Active Release And Sports Chiropractic 8 Cortelyou Ave, Staten Island, NY 10312-2104 Ph: (917) 755-7088 | Island Active Release And Sports Chiropractic 91 Foster Rd, Staten Island, NY 10309-3014 Ph: (917) 755-7088 |
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