Provider Demographics
NPI:1508189531
Name:A.J. STRAUSS CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:A.J. STRAUSS CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-624-0010
Mailing Address - Street 1:250 W ROUTE 59
Mailing Address - Street 2:UNIT 4
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2221
Mailing Address - Country:US
Mailing Address - Phone:845-624-0010
Mailing Address - Fax:845-624-0067
Practice Address - Street 1:250 W ROUTE 59
Practice Address - Street 2:UNIT 4
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2221
Practice Address - Country:US
Practice Address - Phone:845-624-0010
Practice Address - Fax:845-624-0067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0032941111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty