Organization
CJS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG J. SNYDER DC (CHIROPRACTOR)
(718) 477-9797
Entity
Organization
Contact information
Practice address
468 S GANNON AVE, STATEN ISLAND, NY 10314-7610
(718) 477-9797
(718) 477-5739
Mailing address
PO BOX 141113, STATEN ISLAND, NY 10314-1113
(718) 477-9797
(718) 477-5739
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008716-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X0F261
MEDICARE PTAN
NY
Enumeration date
07/29/2011
Last updated
07/29/2011
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