Provider Demographics
NPI:1083135396
Name:FLORAL CHIROPRACTIC ARTS, PLLC
Entity Type:Organization
Organization Name:FLORAL CHIROPRACTIC ARTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:RUPOLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-354-4310
Mailing Address - Street 1:148 TULIP AVE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-2767
Mailing Address - Country:US
Mailing Address - Phone:516-354-4310
Mailing Address - Fax:516-328-7019
Practice Address - Street 1:148 TULIP AVE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2767
Practice Address - Country:US
Practice Address - Phone:516-354-4310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1883-1111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty