SYNERGY PHYSICAL THERAPY & CHIROPRACTIC PLLC (NPI# 1023533437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023533437 |
| Entity Type | Organization |
| Organization Name | SYNERGY PHYSICAL THERAPY & CHIROPRACTIC PLLC |
| Practice Address |
4304 Junction Blvd Ste B Corona NY 11368-2116 |
| Mailing Address |
10509 Jamaica Ave Richmond Hill NY 11418-2014 |
| Practice Telephone | 7184893119 |
| Practice Fax Number | 7188893119 |
| Mailing Telephone | 7184893119 |
| Mailing Fax Number | 7188993119 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2018-03-20 |
| Authorized Official Name | MISTY DICKASON (CHIROPRACTOR/OWNER) |
| Authorized Official Telephone | 7187016490 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X011382 | NY | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17561 Hillside Ave, Jamaica, NY 114325774 | (718) 701-6490 |
| Street Address |
4304 JUNCTION BLVD STE B |
| City | CORONA |
| State | NY |
| Zip Code | 11368-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669935847 | Jorge Mena | Chiropractor | 9632 Corona Ave, Corona, NY 11368-2733 | 2019-04-13 |
| 1043758014 | Inner Qi Wellness Inc | Chiropractor | 1175 W Grand Blvd Ste 100, Corona, CA 92882-4393 | 2017-02-09 |
| 1962879882 | Dr. Amanda Peterson Chiropractic, PC | Chiropractor | 1820 Fullerton Ave Ste 250, Corona, CA 92881-7001 | 2015-08-26 |
| 1609251495 | Michael Andrew Torrez | Chiropractor | 2205 Vesper Cir Ste 101, Corona, CA 92879-3501 | 2015-07-22 |
| 1629488895 | Channy Gardeazabal | Chiropractor | 827 River Rd Unit 228, Corona, CA 92880-1472 | 2014-04-28 |
| 1952731556 | Randi Lynn Ruela | Chiropractor | 1820 Fullerton Ave Ste 270, Corona, CA 92881-3175 | 2013-11-18 |
| 1477899763 | Corona Health Clinic, LLC | Chiropractor | 1450 W 6th St Ste 201, Corona, CA 92882-6516 | 2012-12-14 |
| 1659625036 | Chad David Noel Jr. | Chiropractor | 2250 S Main St Ste 203, Corona, CA 92882-2506 | 2012-11-06 |
| 1972874204 | Mst Consulting, LLC. | Chiropractor | 490 Princeland Ct, Unit 6, Corona, CA 92879-1351 | 2012-01-18 |
| 1114252152 | Cline Chiropractic Care | Chiropractor | 1021 S Main St, Corona, CA 92882-4446 | 2009-10-08 |
| Find all providers in CORONA | ||||
Please comment or provide details below to improve the information on SYNERGY PHYSICAL THERAPY & CHIROPRACTIC PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.