Organization
COLAVITO CHIROPRACTIC PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A. COLAVITO D.C (OWNER)
(845) 344-1211
Entity
Organization
Contact information
Practice address
453 ROUTE 211 E, MIDDLETOWN, NY 10940-2206
(845) 344-1211
(845) 344-4045
Mailing address
453 ROUTE 211 E, MIDDLETOWN, NY 10940-2206
(845) 344-1211
(845) 344-4045
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005219-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0138853
GHI
NY
01
—
C05219-3
WORKERS COMPENSATION
NY
01
—
P2089416
OXFORD
NY
01
—
X13Q31
BLUE CROSS BLUE SHIELD
NY
Enumeration date
04/03/2007
Last updated
05/01/2008
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