Grand Island Chiropractic PC
Organization Active NPI Chiropractor · Grand Island, NY
NPI 1154497121 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154497121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- X009041 (NY)
- Legal business name
- GRAND ISLAND CHIROPRACTIC PC
- Practice address
- 2283 Grand Island Blvd
Grand Island, NY 14072-1819 - Phone
- (716) 773-2222
- Fax
- (866) 907-6157
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas J Notaro, D.C.
- Title
- Chiropractor Owner
- Phone
- (716) 773-2222
Practitioners 44
-
Warren A. Marranca, D.C.
-
Stephen Tusznio, DC
-
Michael Charles Baase, D.C.
-
Thomas J Notaro, D.C.
-
Voncile Vanover, LPN
-
April Theresa Williams, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070129000350 | NY | Part B Supplier - Clinic/Group Practice | 1153322466 |
Receives reassigned benefits from 8 practitioners Practice locations: East Amherst, NY; Grand Island, NY; Niagara Falls, NY; Williamsville, NY |
National Provider Directory
Locations
4754 N French Rd
East Amherst, NY 14051
Phone (716) 688-8815
2283 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 580-3044
950 Maple Rd
Williamsville, NY 14221
Phone (716) 580-3044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | X009041 | NY | Yes |
Addresses
Primary practice location
2283 Grand Island Blvd
Grand Island, NY 14072-1819
Mailing address
2283 Grand Island Blvd
Grand Island, NY 14072-1819
Phone (716) 773-2222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8890392 | Other | NY | INDEPENDENT HEALTH ID |
| 000225223004 | Other | NY | BLUE CROSS AND BLUE SHIEL |
| HC09041-7 | Other | NY | WORKERS COMPENSATION |
| P00305508 | Other | NY | RAILROAD MEDICARE ID |
| 5801989 | Other | NY | GHI |
Other providers in Grand Island, NY
- Chanelle Garcia
- Tara Gensler
- Tricia Lee Giambelluca
- Grand Island Bodyworks Physical Therapy PLLC
- Grand Island Central School District
- Grand Island Optical Co. Inc.
- Grand Island Pharmacy, Inc.
- Grand Island Physical Therapy PC
- Grand Island Primary Medical Care, LLP
- Melisa Granville
All providers in Grand Island, NY · Chiropractor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.