| Ryan Chiropractic Pllc | |
|
2374 Mound Rd Rte 414, Waterloo, NY 13165 | |
| (315) 539-3262 | |
| (315) 539-5221 |
| Full Name | Ryan Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2374 Mound Rd Rte 414, Waterloo, 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 |
|---|---|---|---|
| 1528134178 | NPI | - | NPPES |
| 5211586 | Other | AETNA | |
| 7153201 | Other | AETNA | |
| 101869AN | Other | PREFERRED CARE | |
| 101865AN | Other | PREFERRED CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X0054062 (New York) | Primary |
| 111N00000X | Chiropractor | X0061021 (New York) | Secondary |
| 111N00000X | Chiropractor | X010083 (New York) | Secondary |
| Provider Name | Paul W Ryan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992725295 PECOS PAC ID: 4789766825 Enrollment ID: I20080129000475 |
| Provider Name | Christopher P Ryan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659303790 PECOS PAC ID: 8325120462 Enrollment ID: I20110309000618 |
| Provider Name | Genevieve Rae Heath |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639536329 PECOS PAC ID: 7719282979 Enrollment ID: I20160225001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Chiropractic Pllc Po Box 664, Waterloo, NY 13165 Ph: (315) 539-3262 | Ryan Chiropractic Pllc 2374 Mound Rd Rte 414, Waterloo, NY 13165 Ph: (315) 539-3262 |
Dr. Bryan D'aoust, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 430 Wagner St, Waterloo, NY 13165 Phone: 315-709-2678 | |
Mr. Frank Joseph Catalano Jr., D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 18 W Main St, Waterloo, NY 13165 Phone: 315-759-8380 Fax: 315-539-0398 | |
Kenneth W Padgett, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2374 Mound Rd Rte 414, Waterloo, NY 13165 Phone: 315-539-3262 Fax: 315-539-5221 | |
Dr. Kingsley D Kabari, STUDENT Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1963 Us Route 20, Waterloo, NY 13165 Phone: 315-539-3066 Fax: 315-651-4194 | |
Tasha Marie Fuller, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 47 Virginia St, Waterloo, NY 13165 Phone: 315-664-2216 | |
Christopher P Ryan, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2374 Mound Rd Rte 414, Waterloo, NY 13165 Phone: 315-539-3262 Fax: 315-539-5221 |