Provider Demographics
NPI:1275267080
Name:CHIROPRACTIC & FAMILY HEALTH NP, PLLC
Entity Type:Organization
Organization Name:CHIROPRACTIC & FAMILY HEALTH NP, PLLC
Other - Org Name:INTEGRATIVE FAMILY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTANARO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:315-451-1152
Mailing Address - Street 1:4871 W TAFT RD
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-4819
Mailing Address - Country:US
Mailing Address - Phone:315-451-1152
Mailing Address - Fax:
Practice Address - Street 1:4871 W TAFT RD
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088-4819
Practice Address - Country:US
Practice Address - Phone:315-451-1152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1285833145OtherNPI