| North Park Chiropractic Center | |
|
100 N Centre Ave, Suite 202, Rockville Centre, NY 11570-3937 | |
| (516) 763-2600 | |
| (516) 763-4218 |
| Full Name | North Park Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 100 N Centre Ave, Rockville Centre, 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 |
|---|---|---|---|
| 1922037167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X006933 (New York) | Primary |
| 111N00000X | Chiropractor | X007171 (New York) | Secondary |
| Provider Name | Michael S Russo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164465571 PECOS PAC ID: 9638173511 Enrollment ID: I20060907000417 |
| Provider Name | Wendy R Russo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326075052 PECOS PAC ID: 8729082607 Enrollment ID: I20060907000441 |
| Mailing Address | Practice Location Address |
|---|---|
| North Park Chiropractic Center 100 N Centre Ave, Suite 202, Rockville Centre, NY 11570-3937 Ph: (516) 763-2600 | North Park Chiropractic Center 100 N Centre Ave, Suite 202, Rockville Centre, NY 11570-3937 Ph: (516) 763-2600 |
Jonathan Michael Dcpc Chiropractor Medicare: Medicare Enrolled Practice Location: 55 Maple Ave Ste 306, Rockville Centre, NY 11570 Phone: 516-705-8836 Fax: 516-705-8836 | |
Dr. Michael Alan Kolansky, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 200 North Village Avenue, Ste 100 Rockville Centre Chiropractic Gp Pc, Rockville Centre, NY 11570 Phone: 516-764-7300 Fax: 516-764-8065 | |
Dr. Barry David Heffron, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 165 N Village Ave, Suite 4, Rockville Centre, NY 11570 Phone: 516-764-2222 Fax: 516-764-7314 | |
Dr. Michael Scott Russo, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 100 N Centre Ave, Suite 202, Rockville Centre, NY 11570 Phone: 516-763-2600 Fax: 516-763-4218 | |
Dr. Daniel Silver I, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 119 N Park Ave, Suite 301, Rockville Centre, NY 11570 Phone: 516-568-2989 Fax: 516-596-8957 | |
Joseph Carranza, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 100 Banks Ave Apt 1323, Rockville Centre, NY 11570 Phone: 516-672-8297 | |
Barry Heffron, D.c. P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 165 N Village Ave, Suite 4, Rockville Centre, NY 11570 Phone: 516-764-2222 Fax: 516-764-7314 |