Organization
CHIROPRACTIC REHABILITATION SOURCE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX HILARIO D.C. (OWNER)
(715) 597-9287
Entity
Organization
Contact information
Practice address
9 INGALLS ST, STE 41, NYACK, NY 10960-2318
(845) 517-0222
Mailing address
PO BOX 172, SLOATSBURG, NY 10974-0172
(845) 517-0222
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
X010986-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X07N51
MEDICARE
NY
Enumeration date
07/14/2009
Last updated
07/14/2009
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