National Provider Identifier Database

PERESTAM CHIROPRACTIC PC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

PERESTAM CHIROPRACTIC PC
1921 STATE ROUTE 17C
OWEGO, NY13827
Phone: 607-687-0800
Fax: 607-687-3942
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for PERESTAM CHIROPRACTIC PC

NPI Number 1760557466
Legal business name
LBN
PERESTAM CHIROPRACTIC PC
Authorized official ALAN PERESTAM - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/21/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: X0059261

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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