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
RONKONKOMA CHIROPRACTIC PC
Active
Organization
RONKONKOMA CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE RUSSELL FAILLACE DC (PRESIDENT)
(631) 472-2696
Entity
Organization
Contact information
Practice address
3075 VETERANS MEMORIAL HWY, RONKONKOMA, NY 11779-7667
(631) 472-2696
Mailing address
3075 VETERANS MEMORIAL HWY, SUITE 101, RONKONKOMA, NY 11779-7667
(631) 472-2696
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
110948
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X007958
LICENSE
NY
Enumeration date
06/20/2016
Last updated
07/28/2016
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