| Sea Cliff Chiropractic Pc | |
|
6369 Mill St Suite 101 Rhinebeck NY 12572-1406 | |
| (516) 316-4589 | |
| Not Available |
| Full Name | Sea Cliff Chiropractic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6369 Mill St, Rhinebeck, New York |
| Authorized Official Name and Position | Russell Marc Charno (OWNER) |
| Authorized Official Contact | 5163164589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Cliff Chiropractic Pc 6369 Mill St Suite 101 Rhinebeck NY 12572-1406 Ph: (516) 316-4589 | Sea Cliff Chiropractic Pc 6369 Mill St Suite 101 Rhinebeck NY 12572-1406 Ph: (516) 316-4589 |
| NPI Number | 1992085898 |
|---|---|
| Provider Enumeration Date | 08/23/2011 |
| Last Update Date | 04/15/2016 |
| Medicare PECOS PAC ID | 0648441386 |
|---|---|
| Medicare Enrollment ID | O20110929000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992085898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | X0052491 (New York) | Primary |
| Provider Name | Russell Marc Charno |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093993958 PECOS PAC ID: 1557532298 Enrollment ID: I20110929000050 |
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