Organization
ADVANCE CHIROPRACTIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RONALD JOHNSON D.C. (OWNER)
(845) 623-0026
Entity
Organization
Contact information
Practice address
221 S MIDDLETOWN RD, NANUET, NY 10954-3325
(845) 623-0026
(845) 623-0096
Mailing address
221 S MIDDLETOWN RD, NANUET, NY 10954-3325
(845) 623-0026
(845) 623-0096
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008833
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184651341
INDIVIDUAL NPI
NY
Enumeration date
09/04/2009
Last updated
09/04/2009
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