Provider Demographics
NPI:1477502169
Name:DONOGHUE, CHRISTOPHER FRANCIS JR (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:FRANCIS
Last Name:DONOGHUE
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:WEST HURLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12491-0368
Mailing Address - Country:US
Mailing Address - Phone:845-679-1253
Mailing Address - Fax:845-679-3217
Practice Address - Street 1:1314 ROUTE 28
Practice Address - Street 2:
Practice Address - City:WEST HURLEY
Practice Address - State:NY
Practice Address - Zip Code:12491-0368
Practice Address - Country:US
Practice Address - Phone:845-679-1253
Practice Address - Fax:845-679-3217
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005119-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT53145Medicare UPIN
NYX6C681Medicare ID - Type Unspecified