| Tompkins Community Chiropractic, P.c. | |
|
435 Franklin St Suite 206 Ithaca NY 14850-3570 | |
| (607) 257-6217 | |
| (607) 257-6847 |
| Full Name | Tompkins Community Chiropractic, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 435 Franklin St, Ithaca, New York |
| Authorized Official Name and Position | Randall H. Corey (CHIROPRACTOR) |
| Authorized Official Contact | 6072576217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tompkins Community Chiropractic, P.c. 435 Franklin St Suite 206 Ithaca NY 14850-3570 Ph: (607) 257-6217 | Tompkins Community Chiropractic, P.c. 435 Franklin St Suite 206 Ithaca NY 14850-3570 Ph: (607) 257-6217 |
| NPI Number | 1508028416 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 08/04/2008 |
| Medicare PECOS PAC ID | 5294729729 |
|---|---|
| Medicare Enrollment ID | O20040408001078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508028416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | X005048 (New York) | Primary |
| Provider Name | Randall H Corey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093781791 PECOS PAC ID: 8426042953 Enrollment ID: I20040525001091 |
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