DR. LAUREN TAYLOR VAN DE WATER (NPI# 1508337205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508337205 |
| Entity Type | Individual |
| Full Name | DR. LAUREN TAYLOR VAN DE WATER |
| Other Name | LAUREN TAYLOR CARAZZA |
| Credential | DC |
| Practice Address |
200 Main St Greenwich NY 12834-1054 |
| Practice Telephone | 5186928584 |
| Mailing Telephone | 5186928584 |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 013204 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE LICENSE | 013204 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 75 E Main St Apt 2, Cambridge, NY 128161281 | 5186928584 |
| Street Address |
200 MAIN ST |
| City | GREENWICH |
| State | NY |
| Zip Code | 12834-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518244458 | Ashli Marie Gifford | Speech-Language Pathologist | 10 Gray Ave., Greenwich Csd, Greenwich, NY 12834 | 2011-11-07 |
| 1700046299 | Christine C Polchowski | Massage Therapist | 2615 State Route 40, Greenwich, NY 12834 | 2008-06-10 |
| 1699952481 | Marc John Mercurio | Pharmacist | 1169 Route 29, Greenwich, NY 12834 | 2008-01-24 |
| 1003095282 | L. Arnold Wyse | Psychiatry & Neurology | 154 Stevenson Rd, Greenwich, NY 12834 | 2007-10-24 |
| 1881891398 | Mary Carpenter Lawrence | Physical Therapist | 5 Salem St, 2nd Floor, Greenwich, NY 12834 | 2007-06-28 |
| 1760511729 | Battenkill Community Services, Inc. | Day Training, Developmentally Disabled Services | 336 State Rte 29, Greenwich, NY 12834 | 2007-03-05 |
| 1508922501 | Board of Education | Local Education Agency (LEA) | 10 Gray Ave, Greenwich, NY 12834 | 2006-12-28 |
| 1396848131 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1169 Rte 29, Greenwich, NY 12834 | 2006-09-07 |
| 1134237514 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 1165 Route 29, Greenwich, NY 12834 | 2006-08-27 |
| 1386688455 | Richard S Price | Optometrist | Route 29, Greenwich, NY 12834 | 2006-06-16 |
| Find all providers in zip 12834 | ||||
| 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 |
|---|---|---|---|---|
| 1184962433 | Carin Marie Piacente | Chiropractor | 49 Greenwich Avenue, 2nd Floor, Greenwich, CT 06830 | 2013-01-22 |
| 1639388721 | Joseph A Rossello | Chiropractor | 65 Wildwood Dr, Greenwich, CT 06830-6727 | 2007-05-22 |
| 1871638452 | Ernest Richard Marrone Sr. | Chiropractor | 70 Dearfield Dr, Greenwich, CT 06831-5350 | 2007-02-21 |
| 1871637702 | Karen Shields Wright | Chiropractor | 106 Hunting Ridge Rd, Greenwich, CT 06831-3135 | 2007-02-16 |
| 1538222617 | Jennifer Kissane Hake | Chiropractor | 11 Maple Ave, Greenwich, CT 06830 | 2006-12-19 |
| 1871679902 | Douglas Masi | Chiropractor | 544 Old Post Rd. No.3, Greenwich, CT 06830 | 2006-10-31 |
| 1154328540 | Richard E Pettit | Chiropractor | 19 Townsend St, Greenwich, OH 44837-1131 | 2005-06-30 |
| 1255892840 | Chiro Clinic | Chiropractor | 49 Greenwich Ave, Greenwich, CT 06830-5523 | 2019-03-27 |
| 1912476797 | Indian Harbor Chiropractic | Chiropractor | 209 Bruce Park Ave, Greenwich, CT 06830-2703 | 2018-11-21 |
| 1790214187 | Sportsplus Physical Therapy LLC | Chiropractor | 282 Railroad Avenue, Greenwich, CT 06830 | 2017-06-08 |
| Find all providers in GREENWICH | ||||
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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.