Organization Name: | WILLETS POINT CHIROPRACTIC PC |
NPI Number: | 1568544716 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD J GROSSO (OWNER) |
Mailing Address: | 149-60 Willets Point Blvd Whitestone |
State: | NY US |
Postal Code: | 11357 |
Phone Number: | 7185398600 |
Fax Number: | 7185398606 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 05/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | X0069191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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. |