Provider Demographics
NPI:1598079360
Name:WEST HEMPSTEAD NECK & SPINAL CHIROPRACTIC OFFICE, P.C.
Entity Type:Organization
Organization Name:WEST HEMPSTEAD NECK & SPINAL CHIROPRACTIC OFFICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:I
Authorized Official - Last Name:JAGHAB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-481-3091
Mailing Address - Street 1:300 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-1450
Mailing Address - Country:US
Mailing Address - Phone:516-481-3091
Mailing Address - Fax:516-481-0269
Practice Address - Street 1:300 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-1450
Practice Address - Country:US
Practice Address - Phone:516-481-3091
Practice Address - Fax:516-481-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004940111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty