# ADVANCE CHIROPRACTIC P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407089634
- **Authorized official:** WILLIAM RONALD JOHNSON D.C. (OWNER)
- **Authorized official phone:** (845) 623-0026

## Contact information

- **Practice address:** 221 S MIDDLETOWN RD, NANUET, NY 10954-3325
- **Practice address phone:** (845) 623-0026
- **Practice address fax:** (845) 623-0096
- **Mailing address:** 221 S MIDDLETOWN RD, NANUET, NY 10954-3325
- **Mailing address phone:** (845) 623-0026
- **Mailing address fax:** (845) 623-0096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X008833 | NY | Yes |

## Other

- **Enumeration date:** 09/04/2009
- **Last updated:** 09/04/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1184651341 | INDIVIDUAL NPI | NY |