Provider Demographics
NPI:1194034728
Name:DR. PETER Z. PREVITE, D.C.
Entity Type:Organization
Organization Name:DR. PETER Z. PREVITE, D.C.
Other - Org Name:RANGE OF MOTION CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:Z
Authorized Official - Last Name:PREVITE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:315-335-2966
Mailing Address - Street 1:7201 STATE ROUTE 5
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NY
Mailing Address - Zip Code:13323-3433
Mailing Address - Country:US
Mailing Address - Phone:315-335-2966
Mailing Address - Fax:
Practice Address - Street 1:7201 STATE ROUTE 5
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NY
Practice Address - Zip Code:13323-3433
Practice Address - Country:US
Practice Address - Phone:315-335-2966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty