Provider Demographics
NPI:1992043061
Name:CAMINEZ CHIROPRACTIC PC
Entity Type:Organization
Organization Name:CAMINEZ CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:CAMINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-353-1543
Mailing Address - Street 1:60 DUTCH HILL RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962-1723
Mailing Address - Country:US
Mailing Address - Phone:845-353-1543
Mailing Address - Fax:845-353-3143
Practice Address - Street 1:60 DUTCH HILL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-1723
Practice Address - Country:US
Practice Address - Phone:845-353-1543
Practice Address - Fax:845-353-3143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010418-1261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX4X591Medicare PIN