Provider Demographics
NPI:1821118746
Name:SINAGRA CH, RONALD C
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:C
Last Name:SINAGRA CH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4844 SUNRISE HWY
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-1011
Mailing Address - Country:US
Mailing Address - Phone:631-563-9178
Mailing Address - Fax:631-563-1074
Practice Address - Street 1:4844 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-1011
Practice Address - Country:US
Practice Address - Phone:631-563-9178
Practice Address - Fax:631-563-1074
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005007111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX30261Medicare PIN