Provider Demographics
NPI:1689873283
Name:SILVER SPINE CHIROPRACTIC & HEALTH PC
Entity Type:Organization
Organization Name:SILVER SPINE CHIROPRACTIC & HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARISA
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-584-2128
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11802-0547
Mailing Address - Country:US
Mailing Address - Phone:516-584-2128
Mailing Address - Fax:516-216-4437
Practice Address - Street 1:371 S OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-3301
Practice Address - Country:US
Practice Address - Phone:516-584-2128
Practice Address - Fax:516-216-4437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX01099-2111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWAW711Medicare PIN