Provider Demographics
NPI:1548396500
Name:AVGERINOS CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:AVGERINOS CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FOKION
Authorized Official - Middle Name:
Authorized Official - Last Name:AVGERINOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-357-0297
Mailing Address - Street 1:25220 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-1300
Mailing Address - Country:US
Mailing Address - Phone:718-357-0297
Mailing Address - Fax:718-423-9825
Practice Address - Street 1:25220 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-1300
Practice Address - Country:US
Practice Address - Phone:718-357-0297
Practice Address - Fax:718-423-9825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007732111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG100042588Medicare UPIN