Organization
BACK TO HEALTH MEDICINE AND DIAGNOSTICS
Active
Parent organization
BACK TO HEALTH MEDICINE AND DIAGNOSTICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BACK TO HEALTH MEDICINE AND DIAGNOSTICS
Authorized official
DR. JAY RAYMOND DECESARE DC (MANAGER)
(845) 635-5002
Entity
Organization
Contact information
Practice address
1395 ROUTE 44, PLEASANT VALLEY, NY 12569-7830
(845) 635-5002
(845) 635-5295
Mailing address
PO BOX 550, PLEASANT VALLEY, NY 12569-0550
(845) 635-5002
(845) 635-5295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X0068561
NY
111N00000X
Chiropractor
Primary
X008697
NY
207YX0901X
Otology & Neurotology Physician
147245
NY
225100000X
Physical Therapist
014665-1
NY
225100000X
Physical Therapist
025281-1
NY
Other
Enumeration date
12/22/2006
Last updated
09/10/2008
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