Provider Demographics
NPI:1235290040
Name:BALDINI & ISABELLA CHIROPRACTIC PC
Entity Type:Organization
Organization Name:BALDINI & ISABELLA CHIROPRACTIC PC
Other - Org Name:SENECA CHIROPRACTIC & FAMILY WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ISABELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:315-622-7060
Mailing Address - Street 1:7960 OSWEGO RD
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-1950
Mailing Address - Country:US
Mailing Address - Phone:315-622-7060
Mailing Address - Fax:315-622-7061
Practice Address - Street 1:7960 OSWEGO RD
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-1950
Practice Address - Country:US
Practice Address - Phone:315-622-7060
Practice Address - Fax:315-622-7061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA0787OtherMEDICARE GROUP NUMBER