Provider Demographics
NPI:1134331010
Name:RONALD M. NUGGET D.C.,P.C.
Entity Type:Organization
Organization Name:RONALD M. NUGGET D.C.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:MARVIN
Authorized Official - Last Name:NUGGET
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:631-981-4333
Mailing Address - Street 1:224 MARK TREE RD
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-2278
Mailing Address - Country:US
Mailing Address - Phone:631-981-4333
Mailing Address - Fax:631-981-4019
Practice Address - Street 1:224 MARK TREE RD
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-2278
Practice Address - Country:US
Practice Address - Phone:631-981-4333
Practice Address - Fax:631-981-4019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX1803111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty