Provider Demographics
NPI:1043597677
Name:NAJARIAN CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:NAJARIAN CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:NAJARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:607-656-9000
Mailing Address - Street 1:32 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:GREENE
Mailing Address - State:NY
Mailing Address - Zip Code:13778-1228
Mailing Address - Country:US
Mailing Address - Phone:607-656-9000
Mailing Address - Fax:607-656-5112
Practice Address - Street 1:32 GENESEE ST
Practice Address - Street 2:
Practice Address - City:GREENE
Practice Address - State:NY
Practice Address - Zip Code:13778-1228
Practice Address - Country:US
Practice Address - Phone:607-656-9000
Practice Address - Fax:607-656-5112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0065681111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY52579BMedicare PIN