Active NPI
Back to Health Chiropractic of Westchester, PLLC
- Chiropractor
- Port Chester, NY
National Provider Identifier
1104013366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0055251
- Legal business name
- BACK TO HEALTH CHIROPRACTIC OF WESTCHESTER, PLLC
- Practice address
- 111 S Ridge St
Suite 301
Port Chester, NY 10573-2837 - Phone
- (914) 934-2000
- Fax
- (914) 206-3627
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan Carol Friedman, D. C.
- Title
- Manager
- Phone
- (914) 934-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X0055251 | NY | Primary |
Addresses
Primary practice location
111 S Ridge St
Suite 301
Port Chester, NY 10573-2837
Mailing address
111 S Ridge St
Suite 301
Port Chester, NY 10573-2837
Phone (914) 934-2000
National Provider Directory
National Provider DirectoryLocations
111 S Ridge St
Fl 301
Rye Brook, NY 10573
Phone (914) 934-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191196800000",
"number": "1104013366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S RIDGE ST",
"address_2": "SUITE 301",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105732837",
"telephone_number": "914-934-2000",
"fax_number": "914-206-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S RIDGE ST",
"address_2": "SUITE 301",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105732837",
"telephone_number": "914-934-2000",
"fax_number": "914-206-3627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK TO HEALTH CHIROPRACTIC OF WESTCHESTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "CAROL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "914-934-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D. C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "X0055251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.