Provider Demographics
NPI:1851509160
Name:SOFT TOUCH CHIROPRACTIC REHABILITATION, P.C.
Entity Type:Organization
Organization Name:SOFT TOUCH CHIROPRACTIC REHABILITATION, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:PELLEGRINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-385-1525
Mailing Address - Street 1:315 CENTER OAKS TRL
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-7147
Mailing Address - Country:US
Mailing Address - Phone:516-385-1525
Mailing Address - Fax:516-385-1519
Practice Address - Street 1:315 CENTER OAKS TRL
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-7147
Practice Address - Country:US
Practice Address - Phone:516-385-1525
Practice Address - Fax:516-385-1519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008404111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX79861Medicare ID - Type Unspecified
NYU63593Medicare UPIN