| Ronkonkoma Chiropractic Pc | |
|
3075 Veterans Memorial Hwy, Ronkonkoma, NY 11779-7667 | |
| (631) 472-2696 | |
| Not Available |
| Full Name | Ronkonkoma Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3075 Veterans Memorial Hwy, Ronkonkoma, 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 |
|---|---|---|---|
| 1649620709 | NPI | - | NPPES |
| X007958 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 110948 (New York) | Primary |
| Provider Name | Eugene R Faillace |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164488896 PECOS PAC ID: 7315901683 Enrollment ID: I20041116000917 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronkonkoma Chiropractic Pc 3075 Veterans Memorial Hwy, Suite 101, Ronkonkoma, NY 11779-7667 Ph: (631) 472-2696 | Ronkonkoma Chiropractic Pc 3075 Veterans Memorial Hwy, Ronkonkoma, NY 11779-7667 Ph: (631) 472-2696 |
Miss Jill Clemenza, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2805 Veterans Memorial Hwy Ste 8, Ronkonkoma, NY 11779 Phone: 631-738-8300 Fax: 631-738-8500 | |
Ligament Laxity Analysis Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2805 Veterans Memorial Hwy, Suite 8, Ronkonkoma, NY 11779 Phone: 631-738-8300 Fax: 631-738-8500 | |
Dr. Michael William Smith, D.C Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 700 Union Pkwy Ste 3, Ronkonkoma, NY 11779 Phone: 631-737-4676 Fax: 631-737-1261 | |
Dr. William Ray Iii, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 879 Johnson Ave, Ronkonkoma, NY 11779 Phone: 631-467-5468 Fax: 631-467-5469 | |
Dr. Eugene Russell Faillace, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3075 Veterans Memorial Hwy Ste 101, Ronkonkoma, NY 11779 Phone: 631-708-5573 Fax: 631-619-6543 | |
Structure Pro Chiropractic P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2805 Veterans Memorial Hwy, #8, Ronkonkoma, NY 11779 Phone: 631-440-1589 | |
Ocean Avenue Chiropractic P.c Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 700 Union Pkwy Ste 3, Ronkonkoma, NY 11779 Phone: 631-737-4676 Fax: 631-737-1261 |