Doctor Name: | DR. RAYSA J ECHEVERRIA |
NPI Number: | 1245390517 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 38MC00604100 |
Business Practice Address: | 22-18 Broadway Suite 101 A Fair Lawn, NJ - 074103016 |
Business Phone Number: | 2017978830 |
Business Fax Number: | 2017978862 |
Mailing Address: | 22-18 Broadway, Suite 101 A FAIR LAWN |
State: | NJ |
Postal Code: | 074103016 |
Phone Number: | 2017978830 |
Fax Number: | 2017978862 |
NPI Enumeration Date: | 12/09/2006 |
NPI Last Update Date: | 09/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 38MC00604100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |