INDIAN HARBOR CHIROPRACTIC (NPI# 1912476797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912476797 |
| Entity Type | Organization |
| Organization Name | INDIAN HARBOR CHIROPRACTIC |
| Practice Address |
209 Bruce Park Ave Greenwich CT 06830-2703 |
| Practice Telephone | 2039835426 |
| Practice Fax Number | 2036228228 |
| Mailing Telephone | 2039835426 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Authorized Official Name | DR. DIANA GAILES (CHIROPRACTOR) |
| Authorized Official Telephone | 2039835426 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT CHIROPRACTOR LICENSE NUMBER | 001928 | 01 |
| Street Address |
209 BRUCE PARK AVE |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861527376 | Susan M Seven-sky | Chiropractor | 209 Bruce Park Ave, Greenwich, CT 06830-2703 | 2007-02-23 |
| 1700296894 | Indian Harbor Chiropractic Associates LLC | Chiropractor | 209 Bruce Park Ave, Greenwich, CT 06830-2703 | 2014-04-29 |
| 1750406559 | Diana Beth Gailes | Chiropractor | 209 Bruce Park Ave, Greenwich, CT 06830-2703 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
| 1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
| 1245866433 | Barbara Edeson Roth | Speech-Language Pathologist | The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 | 2020-03-19 |
| 1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
| 1134773674 | Alexandra Blair Conway | Psychologist | 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 | 2019-08-01 |
| 1821560871 | Brionna Emily Lyles | Licensed Practical Nurse | 111 Wilbur Court, Greenwich, CT 06830 | 2018-12-31 |
| 1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
| 1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
| 1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
| 1952853814 | Tina M. Crystal | Psychologist | 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 | 2016-10-26 |
| Find all providers in zip 06830 | ||||
| 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 |
| 1508337205 | Lauren Taylor Van De Water | Chiropractor | 200 Main St, Greenwich, NY 12834-1054 | 2018-12-07 |
| 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.