Provider Demographics
NPI:1346316627
Name:FALANGA FAMILY CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:FALANGA FAMILY CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:FALANGA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:315-343-2961
Mailing Address - Street 1:4 BUTTERNUT DR
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-2986
Mailing Address - Country:US
Mailing Address - Phone:315-343-2961
Mailing Address - Fax:315-343-4001
Practice Address - Street 1:4 BUTTERNUT DR
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-2986
Practice Address - Country:US
Practice Address - Phone:315-343-2961
Practice Address - Fax:315-343-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA0130Medicare ID - Type Unspecified