Provider Demographics
NPI:1477241719
Name:CORE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:CORE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIBERTELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:347-200-0727
Mailing Address - Street 1:212 CROMWELL AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-1308
Mailing Address - Country:US
Mailing Address - Phone:718-285-4190
Mailing Address - Fax:718-285-4240
Practice Address - Street 1:212 CROMWELL AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-1308
Practice Address - Country:US
Practice Address - Phone:718-285-4190
Practice Address - Fax:718-285-4240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty