BACK TO LIFE (NPI# 1821000597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821000597 |
| Entity Type | Organization |
| Organization Name | BACK TO LIFE |
| Practice Address |
901 Stewart Ave Suite 285 Garden City NY 11530-4893 |
| Mailing Address |
75 E Broadway Suite 1a Long Beach NY 11561-4129 |
| Practice Telephone | 5163434926 |
| Mailing Telephone | 5163434926 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MURRAY ALLAN RUSSELL (MANAGING DIRECTOR/OWNER) |
| Authorized Official Telephone | 5163434926 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X011035-1 | NY | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447476445 | Back To Life | Chiropractor | 110 Prominence Point Pkwy Ste 122, Canton, GA 30114-9076 | 2007-04-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | BACK TO LIFE CHIROPRACTIC & WELLNESS LLC | 1912 A Dorchester Ave., Dorchester, MA 02124 |
| Oregon Corporations, Companies and Business Names | BACK TO LIFE CHIROPRACTIC LLC | 251 Sw Alder St, Portland, OR 97204 |
| New York State Corporations | BACK TO LIFE CLEANING CORP. | 300 Division Ave., Hicksville, New York 11801 |
| Colorado Business Entities | Back to life coaching llc | 8023 Wolff St, Unit G, Westminster, CO 80031 |
| Virginia Business Entities | Back To Life Corporation | 4723 E Cardinal Ct, Henrico, Virginia 23228 |
| Colorado Business Entities | Back to Life Counseling LLC | 500 9th Avenue #10, Longmont, CO 80501 |
| Colorado Business Entities | Back To Life Custom Painting and Fine Finishing LLC | 110 Teal Court, Aspen, CO 81611 |
| New York State Corporations | BACK TO LIFE FLOORING CORP. | 1198 Connetquot Ave, Central Islip, Ny 11722 |
| Colorado Business Entities | Back to Life Food, LLC | 8 Brooks Rd, Venice, CA 90291 |
| Connecticut Business Registrations | BACK TO LIFE LLC | 360 Naugatuck Ave., Milford, CT 06461 |
| Street Address |
901 STEWART AVE SUITE 285 |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-4893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518965441 | Theodore J Daly | Legal Medicine | 901 Stewart Ave, Suite 201, Garden City, NY 11530-4803 | 2005-07-13 |
| 1306398706 | Donna Lee Hickey | Dental Hygienist | 901 Stewart Ave, Garden City, NY 11530-4893 | 2016-11-01 |
| 1568827269 | Valerie Schecher | Chiropractor | 901 Stewart Ave, Suite 285, Garden City, NY 11530-4893 | 2015-12-22 |
| 1104201300 | Antonio Jose Casanova | Dentist | 901 Stewart Ave, Suite 200, Garden City, NY 11530-4893 | 2015-07-29 |
| 1609267780 | Antonio Casanova Dds & Bruce Goldman Dmd Pllc | Clinic/Center | 901 Stewart Ave, Suite 200, Garden City, NY 11530-4893 | 2015-02-11 |
| 1306264833 | Tan Duy Nguyen | Physician Assistant | 901 Stewart Ave, Suite 201, Garden City, NY 11530-4893 | 2014-04-01 |
| 1518382415 | John Anthony Cerrato | Dentist | 901 Stewart Ave, Suite225, Garden City, NY 11530-4893 | 2014-02-28 |
| 1710314349 | Gentle Dentistry of Lancaster, Pllc | Dentist | 901 Stewart Ave, Suite 206, Garden City, NY 11530-4893 | 2013-09-27 |
| 1356606743 | Sri Gastroenterology PC | Internal Medicine | 901 Stewart Ave, Garden City, NY 11530-4893 | 2012-07-11 |
| 1144581505 | Devi Medical PC | Internal Medicine | 901 Stewart Ave, Suite 262, Garden City, NY 11530-4893 | 2012-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| 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 |
|---|---|---|---|---|
| 1396241055 | Klass Chiropractic, P.C. | Chiropractor | 591 Stewart Ave Fl 4, Garden City, NY 11530-4764 | 2018-04-02 |
| 1265981385 | Prairie Sage Functional Medicine and Kinesiology LLC | Chiropractor | 519 W Mary St Ste 115, Garden City, KS 67846-2782 | 2016-09-30 |
| 1457618696 | Aaa Wellness Center, LLC | Chiropractor | 27553 W. Warren, Garden City, MI 48135-2235 | 2012-04-12 |
| 1578861993 | Blake Anthony Wasinger | Chiropractor | 1811 E Mary St, Ste A1, Garden City, KS 67846-3880 | 2011-03-09 |
| 1447558895 | Andrew Keith Schueler | Chiropractor | 30900 Ford Rd Ste C, Garden City, MI 48135-1892 | 2011-03-09 |
| 1174838288 | Tri-state Mua Chiropractic, PC | Chiropractor | 595 Stewart Ave, Suite 750, Garden City, NY 11530-4787 | 2010-08-12 |
| 1427380740 | Matthew D. Mccartney | Chiropractor | 1647 Inkster Rd., Garden City, MI 48135 | 2010-02-11 |
| 1679749618 | Carlton Middleton | Chiropractor | 10 Harrell Dr, Garden City, GA 31408-2005 | 2008-04-30 |
| 1417146960 | Gregory J. Hicks | Chiropractor | 27537 Warren Rd, Garden City, MI 48135-2253 | 2007-10-22 |
| 1912190018 | Edward L Zawacki | Chiropractor | 62 Stewart Ave, Garden City, NY 11530-2217 | 2007-08-22 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
Please comment or provide details below to improve the information on BACK TO LIFE.
| 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.