RONKONKOMA PHYSICAL THERAPY, CHIROPRACTIC AND ACUPUNCTURE SERVICES (NPI# 1417564253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417564253 |
| Entity Type | Organization |
| Organization Name | RONKONKOMA PHYSICAL THERAPY, CHIROPRACTIC AND ACUPUNCTURE SERVICES |
| Practice Address |
535 Broadhollow Rd Ste A22 Melville NY 11747-3725 |
| Practice Telephone | 6312490011 |
| Practice Fax Number | 4808131868 |
| Mailing Telephone | 6312490011 |
| Mailing Fax Number | 4808131868 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | DR. THOMAS F DOW (PRESIDENT) |
| Authorized Official Telephone | 6312490011 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2805 Veterans Memorial Hwy Ste 8, Ronkonkoma, NY 117797680 | 6315334132 |
| Street Address |
535 BROADHOLLOW RD STE A22 |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| 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 |
|---|---|---|---|---|
| 1437516176 | Rachel Holly Skolnick | Chiropractor | 19 Beaumont Dr, Melville, NY 11747-3401 | 2016-01-26 |
| 1730564832 | Mark J. Levitan, D.c., P.C. | Chiropractor | 105 Maxess Rd, Suite S131, Melville, NY 11747-3851 | 2015-07-30 |
| 1619102266 | Cathleen A Murphy | Chiropractor | 27 Grossman St, Melville, NY 11747-2905 | 2009-05-27 |
| 1467643973 | Robert Gladstone | Chiropractor | 2474 New York Ave, Melville, NY 11747-1109 | 2007-08-08 |
| 1083745269 | Craig Howard Fishler | Chiropractor | 222 Altessa Blvd, Melville, NY 11747-5202 | 2007-03-08 |
| 1285763938 | Yoram Amiran | Chiropractor | 3 Holly Ct, Melville, NY 11747-2312 | 2007-03-05 |
| 1770657991 | Joseph G Ruggero | Chiropractor | 2470 New York Ave, Melville, NY 11747-1107 | 2006-11-20 |
| 1780651000 | Barbara Ann Lonergan-potenza | Chiropractor | 2 Munson Court, Melville, NY 11747 | 2006-03-06 |
| 1164496063 | Michael D Lehrer | Chiropractor | 1 Schwab Rd, Suite 6, Melville, NY 11747-1130 | 2006-02-15 |
| 1740806462 | Beati Well Care Chiropractic | Chiropractor | 150 Broadhollow Rd Ste 316, Melville, NY 11747-4901 | 2020-06-18 |
| Find all providers in MELVILLE | ||||
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| 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.