Organization
COMMUNITY CHIROPRACTIC CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JAMES MCEVOY DC (OWNER)
(631) 254-0155
Entity
Organization
Contact information
Practice address
1941 DEER PARK AVE STE A, DEER PARK, NY 11729-3326
(631) 254-0155
(631) 254-0157
Mailing address
1428 DEER PARK AVE, NORTH BABYLON, NY 11703-1611
(631) 254-0155
(631) 254-0157
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006940-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37978P
HIP
NY
01
—
5801673
GHI
NY
01
—
925262
EMPIRE PLAN - NYS
NY
01
—
P33825437
MULTIPLAN
NY
Enumeration date
05/16/2008
Last updated
08/16/2023
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