Provider Demographics
NPI:1780872325
Name:SMATT FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:SMATT FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:M
Authorized Official - Last Name:SMATT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-769-0900
Mailing Address - Street 1:37 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-1021
Mailing Address - Country:US
Mailing Address - Phone:914-769-0900
Mailing Address - Fax:914-769-7555
Practice Address - Street 1:37 BEDFORD RD
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-1021
Practice Address - Country:US
Practice Address - Phone:914-769-0900
Practice Address - Fax:914-769-7555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3994111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX75582Medicare PIN
NYU70813Medicare UPIN