Provider Demographics
NPI:1639529241
Name:HC CHIROPRACTIC IMAGING PC
Entity Type:Organization
Organization Name:HC CHIROPRACTIC IMAGING PC
Other - Org Name:MSK IMAGING GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-541-8933
Mailing Address - Street 1:5509 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-6215
Mailing Address - Country:US
Mailing Address - Phone:516-541-8933
Mailing Address - Fax:516-549-5034
Practice Address - Street 1:5509 MERRICK RD
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-6215
Practice Address - Country:US
Practice Address - Phone:516-541-8933
Practice Address - Fax:516-549-5034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012523-1261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile