Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
REGO PARK CHIROPRACTIC PC
Active
Organization
REGO PARK CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE M RENZULLI DC (PRES)
(718) 803-2300
Entity
Organization
Contact information
Practice address
6298 WOODHAVEN BLVD, REGO PARK, NY 11374-3738
(718) 803-2300
(718) 565-2875
Mailing address
6298 WOODHAVEN BLVD, REGO PARK, NY 11374-3738
(718) 803-2300
(718) 565-2875
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X004316-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058574
GHI
—
01
—
CO43168B
WC NY
NY
Enumeration date
01/26/2007
Last updated
11/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up