Provider Demographics
NPI:1659646339
Name:THERESA L. PIRRAGLIA DC PLLC
Entity Type:Organization
Organization Name:THERESA L. PIRRAGLIA DC PLLC
Other - Org Name:PIRRAGLIA CHIROPRACTIC & ATHLETIC PERFORMANCE ENHANCEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PIRRAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-738-2696
Mailing Address - Street 1:1 RADISSON PLZ
Mailing Address - Street 2:SUITE 709
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5766
Mailing Address - Country:US
Mailing Address - Phone:914-738-2696
Mailing Address - Fax:914-738-2465
Practice Address - Street 1:1 RADISSON PLZ
Practice Address - Street 2:SUITE 709
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5766
Practice Address - Country:US
Practice Address - Phone:914-738-2696
Practice Address - Fax:914-738-2465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty