Provider Demographics
NPI:1780880799
Name:ADVANCED ROCKLAND CHIROPRACTIC OFFICES, PC
Entity type:Organization
Organization Name:ADVANCED ROCKLAND CHIROPRACTIC OFFICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:GREANY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-425-6288
Mailing Address - Street 1:265 N MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3702
Mailing Address - Country:US
Mailing Address - Phone:845-425-6288
Mailing Address - Fax:845-425-1915
Practice Address - Street 1:265 N MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3702
Practice Address - Country:US
Practice Address - Phone:845-425-6288
Practice Address - Fax:845-425-1915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005516-1111N00000X
NYX005515111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty