Provider Demographics
NPI:1689945859
Name:CHIROPRACTIC GROUP OF HUDSON VALLEY P C
Entity Type:Organization
Organization Name:CHIROPRACTIC GROUP OF HUDSON VALLEY P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMINGTON
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHOFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-831-1225
Mailing Address - Street 1:1181 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-1700
Mailing Address - Country:US
Mailing Address - Phone:845-831-1225
Mailing Address - Fax:845-838-2885
Practice Address - Street 1:1181 NORTH AVE
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-1700
Practice Address - Country:US
Practice Address - Phone:845-831-1225
Practice Address - Fax:845-838-2885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007043111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU45291Medicare UPIN
NYX59661Medicare PIN