Provider Demographics
NPI:1083647846
Name:CHENANGO CHIROPRACTIC PC
Entity Type:Organization
Organization Name:CHENANGO CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:STRNATKA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:607-648-3682
Mailing Address - Street 1:1 KATTELVILLE RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13901-1250
Mailing Address - Country:US
Mailing Address - Phone:607-648-3682
Mailing Address - Fax:607-648-3682
Practice Address - Street 1:1 KATTELVILLE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13901-1250
Practice Address - Country:US
Practice Address - Phone:607-648-3682
Practice Address - Fax:607-648-3682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX10607-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
BA0510Medicare PIN