Provider Demographics
NPI:1689820490
Name:ROCKLAND FAMILY CHIROPRACTIC CARE PC
Entity Type:Organization
Organization Name:ROCKLAND FAMILY CHIROPRACTIC CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIYAM BINDU
Authorized Official - Middle Name:K
Authorized Official - Last Name:MATHEW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-535-3643
Mailing Address - Street 1:719 W NYACK RD
Mailing Address - Street 2:SUITE 21
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2240
Mailing Address - Country:US
Mailing Address - Phone:845-535-3643
Mailing Address - Fax:845-535-3644
Practice Address - Street 1:719 W NYACK RD
Practice Address - Street 2:SUITE 21
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2240
Practice Address - Country:US
Practice Address - Phone:845-535-3643
Practice Address - Fax:845-535-3644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011452-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty