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Contact Information

CHIROSPORT AND SPINE, LLC
421 E. MAIN ST.
ENDICOTT, NY13760
 Phone: 607-321-7674
 Fax: 855-890-7728
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CHIROSPORT AND SPINE, LLC

NPI Number 1003239922
LBN Legal business name CHIROSPORT AND SPINE, LLC
Authorized official BRIAN BALDIA - (OWNER/CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2014
Last updated 04/29/2014 - About 12 years ago
Identifiers
NY License # X012250-1
PA License # DC007952L
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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