Provider Demographics
NPI:1134474307
Name:LIVINGSTON CHIROPRACTIC AND REHABILITATION ASSOCIATES, LLC
Entity Type:Organization
Organization Name:LIVINGSTON CHIROPRACTIC AND REHABILITATION ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTONASTASO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:973-597-9766
Mailing Address - Street 1:65 E NORTHFIELD RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4231
Mailing Address - Country:US
Mailing Address - Phone:973-597-9766
Mailing Address - Fax:
Practice Address - Street 1:65 E NORTHFIELD RD
Practice Address - Street 2:SUITE F
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4231
Practice Address - Country:US
Practice Address - Phone:973-597-9766
Practice Address - Fax:973-597-9768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-13
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00468900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty