CENTRAL SQUARE FAMILY CHIROPRACTIC, PC (NPI# 1114113230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114113230 |
| Entity Type | Organization |
| Organization Name | CENTRAL SQUARE FAMILY CHIROPRACTIC, PC |
| Practice Address |
3045 East Ave Central Square NY 13036-9502 |
| Mailing Address |
Po Box 893 Central Square NY 13036-0893 |
| Practice Telephone | 3156683248 |
| Practice Fax Number | 3156763796 |
| Mailing Telephone | 3156683248 |
| Mailing Fax Number | 3156763796 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | DR. DANIEL P WALSH (DOCTOR) |
| Authorized Official Telephone | 3156683248 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X010102-1 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MULTIPLAN | P-11213126 | 01 |
| NY | LANDMARK | NY10102 | 01 |
| NY | TOTAL CARE | NY10102 | 01 |
| NY | RMSCO | X010102 | 01 |
| NY | CAQH | 10770520 | 01 |
| NY | CIGNA | 5323798 | 01 |
| NY | GHI | 5897918 | 01 |
| NY | AETNA | 7455427 | 01 |
| Street Address |
3045 EAST AVE |
| City | CENTRAL SQUARE |
| State | NY |
| Zip Code | 13036-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790884666 | Lawrence Koss | Family Medicine | 3045 East Ave, Lifetime Health Center Building, Central Square, NY 13036-9502 | 2006-09-21 |
| 1255833109 | Anton Chertkovsky | Physician Assistant | 3045 East Ave, Central Square, NY 13036 | 2018-03-07 |
| 1003364977 | Aaron Jannetti | Physician Assistant | 3045 East Ave, Central Square, NY 13036-2611 | 2016-09-20 |
| 1720455322 | Cassandra Hunsberger | Nurse Practitioner | 3045 East Ave, Central Square, NY 13036-2611 | 2015-08-31 |
| 1669721296 | Port City Emergency Physicians LLP | Emergency Medicine | 3045 East Ave, Central Square, NY 13036-9502 | 2012-08-29 |
| 1518271857 | Renato Y Mandanas Md Pllc | Family Medicine | 3045 East Ave, Lifetime Health Center Building, Central Square, NY 13036-9502 | 2010-07-28 |
| 1861715526 | Richard Robinson | Pharmacist | 3045 East Ave, Central Square, NY 13036-9502 | 2010-03-10 |
| 1114051430 | Genesee Valley Group Health Association | Durable Medical Equipment & Medical Supplies | 3045 East Ave, Central Square, NY 13036-9502 | 2007-03-16 |
| 1306906235 | Kathleen Ann Ventura | Pharmacist | 3045 East Ave, Central Square, NY 13036-9502 | 2006-12-11 |
| 1336209410 | Timothy Shawn Pierce | Pharmacist | 3045 East Ave, Central Square, NY 13036-9502 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780101220 | Tamara Lynn Keys | Licensed Practical Nurse | 344 Hickory Lane, Central Square, NY 13036 | 2017-08-25 |
| 1750756169 | Whitney Lorena Hyde | Registered Nurse | 1292 County Route 11, Central Square, NY 13036 | 2015-12-10 |
| 1083097919 | Podiatry Services of Central New York, PC | Podiatrist | 2187 County Rte. 12, Central Square, NY 13036 | 2015-07-09 |
| 1427378371 | Kathleen Rose Schad | Licensed Practical Nurse | 106 Michael's Way, Central Square, NY 13036 | 2010-06-02 |
| 1518299718 | Lorie Giamartino | Pharmacist | 537 South Main Street, Central Square, NY 13036 | 2010-02-12 |
| 1255569646 | Allison Amy Bronner | Physical Therapist | 124 U.S. Route 11, Central Square, NY 13036 | 2009-06-24 |
| 1467645309 | Jo Anne Tryon | Licensed Practical Nurse | 12 Rust Memorial, Central Square, NY 13036 | 2007-08-23 |
| 1891729810 | Genesee Valley Group Health Association | Clinic/Center | 3045 East Avenue, Central Square Health Center, Central Square, NY 13036 | 2006-07-10 |
| 1356326649 | Richard A Frio | Optometrist | 3248 Fulton Ave, Central Square, NY 13036 | 2005-12-09 |
| 1851896567 | Central Square Smiles Dentistry | Dentist | 653 S Main St, Central Square, NY 13036 | 2018-03-26 |
| Find all providers in zip 13036 | ||||
| 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 |
|---|---|---|---|---|
| 1841390689 | Daniel Patrick Walsh | Chiropractor | 544 S Main St, Central Square, NY 13036-9779 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980959 | Jay Rosenbluth | Chiropractor | 501 5th Ave Rm 809, New York, NY 10017-7809 | 2020-10-20 |
| 1457959223 | Howard Joseph Baron | Chiropractor | 360 Shore Rd Apt 6b, Long Beach, NY 11561-4374 | 2020-10-14 |
| 1003414079 | Brett John Poniros | Chiropractor | 220 Tompkins Ave, Pleasantville, NY 10570-3146 | 2020-10-13 |
| 1528675923 | Dominic Estevez | Chiropractor | 361 N Broadway, Lindenhurst, NY 11757-3302 | 2020-09-29 |
| 1457963969 | Mariella Townsend | Chiropractor | 220 S Service Rd Ste 12, Roslyn Heights, NY 11577-2131 | 2020-08-18 |
| 1235740275 | Andrea Hope Levin | Chiropractor | 280 Beaumont St, Brooklyn, NY 11235-4121 | 2020-08-13 |
| 1326657354 | David Gurpegui | Chiropractor | 13263 Maple Ave Apt 2r, Flushing, NY 11355-4417 | 2020-07-27 |
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1700404027 | Amy J Lin | Chiropractor | 8225 Queens Blvd Ste 1a, Elmhurst, NY 11373-4242 | 2020-07-13 |
| 1124646856 | Brayana Lashay Dudley | Chiropractor | 25 Scott Ln, Rochester, NY 14624-3919 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | CENTRAL SQUARE |
| Zip Code | 13036 |
Please comment or provide details below to improve the information on CENTRAL SQUARE FAMILY CHIROPRACTIC, PC.
| 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.