Provider Demographics
NPI:1740531102
Name:CHIROPRACTIC FIRST, P.C.
Entity type:Organization
Organization Name:CHIROPRACTIC FIRST, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:R
Authorized Official - Last Name:GOINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:315-729-1986
Mailing Address - Street 1:6700 KIRKVILLE RD STE 2A
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-9256
Mailing Address - Country:US
Mailing Address - Phone:315-437-1600
Mailing Address - Fax:315-437-1900
Practice Address - Street 1:6700 KIRKVILLE RD STE 2A
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9256
Practice Address - Country:US
Practice Address - Phone:315-437-1600
Practice Address - Fax:315-437-1900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYXO11073-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty