Provider Demographics
NPI:1922580679
Name:MASELLI RONEY CHIROPRACTIC HOOSICK FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:MASELLI RONEY CHIROPRACTIC HOOSICK FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/ CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RONEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:304-670-2223
Mailing Address - Street 1:1 CONWAY CT
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2108
Mailing Address - Country:US
Mailing Address - Phone:518-279-0550
Mailing Address - Fax:518-279-9461
Practice Address - Street 1:1 CONWAY CT
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2108
Practice Address - Country:US
Practice Address - Phone:518-279-0550
Practice Address - Fax:518-279-9461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012961111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty