Provider Demographics
NPI:1114076908
Name:COLLINS CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:COLLINS CHIROPRACTIC, PC
Other - Org Name:CROSSTOWN CHIROPRACTIC, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MOREY
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:518-374-4373
Mailing Address - Street 1:1204 NOTT ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2520
Mailing Address - Country:US
Mailing Address - Phone:518-374-4373
Mailing Address - Fax:518-374-4691
Practice Address - Street 1:1204 NOTT ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2520
Practice Address - Country:US
Practice Address - Phone:518-374-4373
Practice Address - Fax:518-374-4691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008123-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty