PREMIUM CHIROPRACTIC (NPI# 1629419304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629419304 |
| Entity Type | Organization |
| Organization Name | PREMIUM CHIROPRACTIC |
| Practice Address |
325 N Broadway Jericho NY 11753-2015 |
| Practice Telephone | 5164338720 |
| Practice Fax Number | 5164338723 |
| Mailing Telephone | 5164338720 |
| Mailing Fax Number | 5164338723 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | THOMAS TINI (ASSOCIATE) |
| Authorized Official Telephone | 5164338720 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X08707 | NY | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487897450 | Premium Chiropractic | Chiropractor | 901 Stewart Ave, Suite 285, Garden City, NY 11530-4893 | 2009-04-07 |
| Street Address |
325 N BROADWAY |
| City | JERICHO |
| State | NY |
| Zip Code | 11753-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992285357 | Jericho Orthodontics and Pediatric Dentistry | Dentist | 325 N Broadway, Jericho, NY 11753-2015 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706755 | Navila Armon | Social Worker | 575 Jericho Turnpike, Suite 100, Jericho, NY 11753 | 2020-06-26 |
| 1962035204 | Susan Renee Banco | Social Worker | 286 Carriage House Drive, Jericho, NY 11753 | 2020-02-14 |
| 1154807063 | John Buckman | Registered Nurse | 180 Fairhaven Drive, A23, Jericho, NY 11753 | 2018-07-13 |
| 1225545718 | P.d.m Family Dental, P.C. | Dentist | 295 N Broadway, Jericho, NY 11753 | 2018-01-05 |
| 1699285734 | Jamie Silverman | Social Worker | 51 Flower Lane, Jericho, NY 11753 | 2017-10-03 |
| 1922526748 | Tracey Cardello Lcsw P.C. | Social Worker | 400 Jericho Turnpike #107, Jericho, NY 11753 | 2017-08-31 |
| 1265971261 | Teladietitian | Dietitian, Registered | 471 North Broadway, 363, Jericho, NY 11753 | 2017-02-23 |
| 1346644382 | Aanze Maria Abraham | Nurse Practitioner | 246 Halsey Avenue, Jericho, NY 11753 | 2014-10-20 |
| 1356742449 | Morgan Weissman | Occupational Therapist | 19 Maytime Court, Jericho, NY 11753 | 2014-09-09 |
| 1063822732 | Disha Shah | Internal Medicine | 200 Fairhaven Dr Apt A16, Jericho, NY 11753 | 2014-05-05 |
| Find all providers in zip 11753 | ||||
| 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 |
|---|---|---|---|---|
| 1598398398 | Leah Marie Nyaletey | Chiropractor | 213 Vt 15, Jericho, VT 05465-9639 | 2020-02-20 |
| 1285266759 | Jericho Chiropractic LLC | Chiropractor | 397 Route 15, Jericho, VT 05465-2044 | 2020-02-12 |
| 1760767578 | Elite Chiropractic, PC | Chiropractor | 430 South Marginal Road, Jericho, NY 11753 | 2011-10-13 |
| 1245400407 | Philip Shen | Chiropractor | 323 Key Pl, Jericho, NY 11753-1657 | 2008-03-04 |
| 1265592844 | Timothy Joseph Farrell | Chiropractor | 213e Vt Route 15, Jericho, VT 05465-9639 | 2006-12-12 |
| 1770678773 | Bruce Lee Friedman | Chiropractor | 430 S Marginal Rd, Jericho, NY 11753-1914 | 2006-10-04 |
| 1447229505 | Mary Helen Kintner | Chiropractor | 397 Vermont Route 15, Jericho, VT 05465-2044 | 2006-03-14 |
| 1760979520 | Elizabeth Horne | Chiropractor | 213e Vt Route 15, Jericho, VT 05465-9639 | 2018-04-17 |
| 1760777304 | Barbara Ann Siegel | Chiropractor | 430 S Marginal Rd, Jericho, NY 11753-1914 | 2011-06-11 |
| 1346431236 | Steven Vincent Macagnone | Chiropractor | 366 N Broadway, Suite Le2, Jericho, NY 11753-2025 | 2007-08-06 |
| Find all providers in JERICHO | ||||
Please comment or provide details below to improve the information on PREMIUM CHIROPRACTIC.
| 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.