Provider Demographics
NPI:1336687813
Name:BOYLE FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:BOYLE FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FRANCIS1
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:845-943-6211
Mailing Address - Street 1:12 JOHN ST STE C
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-3810
Mailing Address - Country:US
Mailing Address - Phone:845-943-6211
Mailing Address - Fax:
Practice Address - Street 1:12 JOHN ST STE C
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3810
Practice Address - Country:US
Practice Address - Phone:845-943-6211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7001293111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty