Provider Demographics
NPI:1275700098
Name:FIVE TOWNS CHIROPRACTIC CARE, P.C.
Entity Type:Organization
Organization Name:FIVE TOWNS CHIROPRACTIC CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MESSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-569-5900
Mailing Address - Street 1:485R CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-2010
Mailing Address - Country:US
Mailing Address - Phone:516-569-5900
Mailing Address - Fax:
Practice Address - Street 1:485R CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-2010
Practice Address - Country:US
Practice Address - Phone:516-569-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005139111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty