Provider Demographics
NPI:1225221633
Name:CHAI CHIROPRACTIC PC
Entity Type:Organization
Organization Name:CHAI CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATION PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BATER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-249-1345
Mailing Address - Street 1:185 MERRITTS RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3254
Mailing Address - Country:US
Mailing Address - Phone:516-249-1345
Mailing Address - Fax:516-249-1346
Practice Address - Street 1:185 MERRITTS RD
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3254
Practice Address - Country:US
Practice Address - Phone:516-249-1345
Practice Address - Fax:516-249-1346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0105041111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty