Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SERENITY SOURCE CHIROPRACTIC & MASSAGE PLLC
Active
Organization
SERENITY SOURCE CHIROPRACTIC & MASSAGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANTHONY PUSATERI DC (OWNER)
(631) 404-7073
Entity
Organization
Contact information
Practice address
18 WEEKS ST STE A, BLUE POINT, NY 11715-1513
(631) 404-7073
(631) 751-8298
Mailing address
18 WEEKS ST STE A, BLUE POINT, NY 11715-1513
(631) 404-7073
(631) 751-8298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007829
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007829
LICENSE
NY
Enumeration date
06/05/2014
Last updated
06/05/2014
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