CHIROSPORT AND SPINE, LLC (NPI# 1003239922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003239922 |
| Entity Type | Organization |
| Organization Name | CHIROSPORT AND SPINE, LLC |
| Practice Address |
421 E. Main St. Endicott NY 13760 |
| Mailing Address |
3103 Chatham Rd. Endwell NY 13760 |
| Practice Telephone | 6073217674 |
| Practice Fax Number | 8558907728 |
| Mailing Telephone | 6073217674 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-04-29 |
| Authorized Official Name | DR. BRIAN L. BALDIA (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 2672537808 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC007952L | PA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | X012250-1 | NY | Chiropractic Providers |
| Street Address |
421 E. MAIN ST. |
| City | ENDICOTT |
| State | NY |
| Zip Code | 13760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649745084 | Lori Ann Bullock | Registered Nurse | 816 Martin Street, Endicott, NY 13760 | 2018-10-12 |
| 1295231405 | Michelle Maria Kavanaugh | Technician/Technologist | 3505 Watson Blvd, Endwell, NY 13760 | 2018-04-05 |
| 1619490091 | Lynda Benson Coccia | Counselor | 1635 Union Center Highway, Endicott, NY 13760 | 2017-07-18 |
| 1780038117 | Maliha Suleman | Family Medicine | Lourdes Endicott Primary Care, 415 E. Main St, Endicott, NY 13760 | 2016-04-22 |
| 1851738165 | Charles William Wells | Clinic/Center | 101 Mitchell St Apt 1, A1 Chucks Taxi, Endicott, NY 13760 | 2013-05-28 |
| 1811257991 | Leslie Estelle Eldridge | Licensed Practical Nurse | 700 W. Wendell St, Endicott, NY 13760 | 2012-05-22 |
| 1801176946 | Janet M Dimaria | Physical Therapist | 712 Farm To Market Rd., Endwell, NY 13760 | 2011-08-21 |
| 1629398466 | Elaine Eagan Mcgraw | Social Worker | 715 Paden St., Endicott, NY 13760 | 2010-06-03 |
| 1447497060 | Sarah Jean Krager | Early Intervention Provider Agency | 317 North Roosevelt Avenue, Endicott, NY 13760 | 2009-01-20 |
| 1457504342 | Timothy John Federowicz | Chiropractor | 2911 Watson Blvd., Endicott, NY 13760 | 2008-10-23 |
| Find all providers in zip 13760 | ||||
| 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 |
|---|---|---|---|---|
| 1457504342 | Timothy John Federowicz | Chiropractor | 2911 Watson Blvd., Endicott, NY 13760 | 2008-10-23 |
| 1649456427 | Thompson Chiropractic Services, P.C. | Chiropractor | 701 Cieri Dr, Endicott, NY 13760-2219 | 2008-01-11 |
| 1477699288 | Francine Fay Finucan | Chiropractor | 333 Odell Ave, Endicott, NY 13760-2820 | 2007-01-29 |
| 1649368176 | Samuel Adam Cooper | Chiropractor | 817 Pine St, Endicott, NY 13760-2715 | 2006-10-10 |
| 1730272154 | Martin D. Brazinski | Chiropractor | 412 E Main St, Endicott, NY 13760-4926 | 2006-09-30 |
| 1245711829 | Endwell Chiropractic, Pllc | Chiropractor | 412 E Main St, Endicott, NY 13760-4926 | 2018-08-22 |
| 1053540757 | Alexander Whilhelm Bellinghausen | Chiropractor | 333 Odell Ave, Endicott, NY 13760-2820 | 2009-07-02 |
| 1689849168 | North Endicott Chiropractic | Chiropractor | 817 Pine St, Endicott, NY 13760-2715 | 2008-04-25 |
| 1295903516 | Union Endicott Chiropractic, LLP | Chiropractor | 333 Odell Ave, Endicott, NY 13760-2820 | 2008-02-20 |
| 1477766954 | Angelo Nicholas Ferrara | Chiropractor | 333 Odell Ave, Endicott, NY 13760-2820 | 2007-05-08 |
| Find all providers in ENDICOTT | ||||
Please comment or provide details below to improve the information on CHIROSPORT AND SPINE, LLC.
| 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.