Organization
PARK AVENUE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH FRANCIS TARANTO D.C. (PRESIDENT)
(814) 254-4868
Entity
Organization
Contact information
Practice address
426 PARK AVE, JOHNSTOWN, PA 15902-2511
(814) 254-4868
Mailing address
426 PARK AVE, JOHNSTOWN, PA 15902-2511
(814) 254-4868
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC009573
PA
111N00000X
Chiropractor
Primary
DC009574
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017882660001
—
PA
Enumeration date
09/26/2006
Last updated
06/17/2010
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