Provider Demographics
NPI:1558670067
Name:GINSBERG, ROSS IAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:IAN
Last Name:GINSBERG
Suffix:
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 1:11 WAKEFIELD CT
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-2206
Mailing Address - Country:US
Mailing Address - Phone:404-433-9435
Mailing Address - Fax:
Practice Address - Street 1:72 W MAIN ST
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-2211
Practice Address - Country:US
Practice Address - Phone:516-922-4606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011889111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor