Provider Demographics
NPI:1467648311
Name:FINIZIO CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:FINIZIO CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FINIZIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-941-7720
Mailing Address - Street 1:576 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-1721
Mailing Address - Country:US
Mailing Address - Phone:201-941-7720
Mailing Address - Fax:201-941-7780
Practice Address - Street 1:576 ANDERSON AVE
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PK
Practice Address - State:NJ
Practice Address - Zip Code:07010-1721
Practice Address - Country:US
Practice Address - Phone:201-941-7720
Practice Address - Fax:201-941-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00389000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty