Provider Demographics
NPI:1801538020
Name:SCOTCHTOWN CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:SCOTCHTOWN CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:TONYES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-692-3224
Mailing Address - Street 1:633 ROUTE 211 E
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-1780
Mailing Address - Country:US
Mailing Address - Phone:845-692-3224
Mailing Address - Fax:845-692-3426
Practice Address - Street 1:633 ROUTE 211 E
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-1780
Practice Address - Country:US
Practice Address - Phone:845-692-3224
Practice Address - Fax:845-692-3426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-08
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty