Provider Demographics
NPI:1477747087
Name:BORIO CHIROPRACTIC HEALTH CENTER
Entity Type:Organization
Organization Name:BORIO CHIROPRACTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BORIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:315-699-1441
Mailing Address - Street 1:8212 BREWERTON RD
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:NY
Mailing Address - Zip Code:13039-6400
Mailing Address - Country:US
Mailing Address - Phone:315-699-1441
Mailing Address - Fax:315-699-2596
Practice Address - Street 1:8212 BREWERTON RD
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-6400
Practice Address - Country:US
Practice Address - Phone:315-699-1441
Practice Address - Fax:315-699-2596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006367-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
4853570001Medicare NSC