Provider Demographics
NPI:1134227069
Name:DR. BONNIE COREY, GLOBAL CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:DR. BONNIE COREY, GLOBAL CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:ILENE
Authorized Official - Last Name:COREY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-328-2880
Mailing Address - Street 1:246 SCHERER BLVD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-1337
Mailing Address - Country:US
Mailing Address - Phone:516-328-2880
Mailing Address - Fax:516-328-2892
Practice Address - Street 1:246 SCHERER BLVD
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-1337
Practice Address - Country:US
Practice Address - Phone:516-328-2880
Practice Address - Fax:516-328-2892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX97411Medicare PIN