Organization
CASTLE CARE PT CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKY CERVANTES (AUTHORIZED OFFICIAL/PROVIDER)
(845) 553-4607
Entity
Organization
Contact information
Practice address
1610 CASTLE HILL AVE, BRONX, NY 10462-4202
(845) 553-4607
Mailing address
1333A NORTH AVE STE 717, NEW ROCHELLE, NY 10804-2120
(845) 553-4607
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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