Provider Demographics
NPI:1952863458
Name:URGENT CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:URGENT CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:F
Authorized Official - Last Name:DOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:631-260-1348
Mailing Address - Street 1:P.O. BOX 1108
Mailing Address - Street 2:
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-0920
Mailing Address - Country:US
Mailing Address - Phone:631-260-1348
Mailing Address - Fax:
Practice Address - Street 1:2805 VETERANS MEMORIAL HWY STE 8
Practice Address - Street 2:
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-7680
Practice Address - Country:US
Practice Address - Phone:631-260-1348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty