Serenity Source Chiropractic & Massage Pllc

LBN: Serenity Source Chiropractic & Massage Pllc
Serenity Source Chiropractic & Massage Pllc is an health care organization with primary practice located at 18 Weeks St Ste A , Blue Point NY 11715-1513. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Serenity Source Chiropractic & Massage Pllc can be contacted via phone (631) 404-7073, or through Pusateri, Anthony via phone (631) 404-7073.

Contact Information

Primary practice address
18 Weeks St Ste A Blue Point NY 11715-1513
Phone: (631) 404-7073
Fax: (631) 751-8298
Website:
Map and Directions
Authorized official contact:
Name: Pusateri, Anthony Doctor of Chiropractic (DC)
Phone: (631) 404-7073

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 007829 New York

Profile Details

NPI number 1316350580
LBN Legal business name Serenity Source Chiropractic & Massage Pllc
DBA Doing business as
Authorized official Pusateri, Anthony Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2014
Last updated Jun 5th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316350580 NPPES
New York Other 007829 LICENSE

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