Organization Name: | FAMILY CHIROPRACTOR |
NPI Number: | 1104035310 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SATWINDER DHANJAL (OWNER) |
Mailing Address: | 56 Clifton Country Rd Ste 104 Clifton Park |
State: | NY US |
Postal Code: | 120653995 |
Phone Number: | 5183573262 |
Fax Number: | 5183573263 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 03/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | X012086-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |