Organization Active NPI

Back to Health Chiropractic of Westchester, PLLC

  • Chiropractor
  • Port Chester, NY
National Provider Identifier
1104013366
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0055251 Issued in NY
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

Updated by the provider on Oct 1, 2007

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.