Organization
CENTRAL SQUARE FAMILY CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL P WALSH DC (DOCTOR)
(315) 668-3248
Entity
Organization
Contact information
Practice address
3045 EAST AVE, CENTRAL SQUARE, NY 13036-9502
(315) 668-3248
(315) 676-3796
Mailing address
PO BOX 893, CENTRAL SQUARE, NY 13036-0893
(315) 668-3248
(315) 676-3796
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010102-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10770520
CAQH
NY
01
—
5323798
CIGNA
NY
01
—
5897918
GHI
NY
01
—
7455427
AETNA
NY
01
—
NY10102
TOTAL CARE
NY
01
—
P-11213126
MULTIPLAN
NY
01
—
X010102
RMSCO
NY
Enumeration date
09/21/2007
Last updated
09/21/2007
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