Provider Demographics
NPI:1174641294
Name:MULTICARE CHIROPRACTIC PC
Entity Type:Organization
Organization Name:MULTICARE CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WINCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-206-3369
Mailing Address - Street 1:14431 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-3623
Mailing Address - Country:US
Mailing Address - Phone:718-206-3369
Mailing Address - Fax:718-206-2149
Practice Address - Street 1:14431 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-3623
Practice Address - Country:US
Practice Address - Phone:718-206-3369
Practice Address - Fax:718-206-2149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty