Provider Demographics
NPI:1982635728
Name:CHIROPRACTIC HEALTH SERVICES, PC
Entity Type:Organization
Organization Name:CHIROPRACTIC HEALTH SERVICES, PC
Other - Org Name:NEWBURGH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANETTE
Authorized Official - Middle Name:DIANA
Authorized Official - Last Name:ASARO PENA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:917-574-6396
Mailing Address - Street 1:3 PIERCES RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3234
Mailing Address - Country:US
Mailing Address - Phone:845-561-6800
Mailing Address - Fax:914-885-1091
Practice Address - Street 1:3 PIERCES RD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3234
Practice Address - Country:US
Practice Address - Phone:845-561-6800
Practice Address - Fax:914-885-1091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009817111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC-9817-0BOtherWORKER'S COMPENSATION
NYC-9817-0BOtherWORKER'S COMPENSATION
NYU81412Medicare UPIN