516 Chiropractic PC
Organization Active NPI Chiropractor · Williston Park, NY
NPI 1154836096 · NPPES record last updated Dec 13, 2017
Key facts
- NPI
- 1154836096
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- X010469 (NY)
- Legal business name
- 516 CHIROPRACTIC PC
- Practice address
- 486 Willis Ave
Williston Park, NY 11596-1737 - Phone
- (516) 747-0078
- NPI assigned
- Dec 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Nicholas F Amico, DC
- Title
- President
- Phone
- (516) 747-0078
Practitioners 2
-
Nicholas F Amico, DC
-
Susana M Rabines, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181107001805 | NY | Part B Supplier - Clinic/Group Practice | 5799039962 |
Receives reassigned benefits from 1 practitioner Practice locations: Williston Park, NY |
National Provider Directory
Locations
486 Willis Ave
Lowr
Williston Pk, NY 11596
Phone (516) 279-6767
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | X010469 | NY | Yes |
Addresses
Primary practice location
486 Willis Ave
Williston Park, NY 11596-1737
Mailing address
486 Willis Ave
Williston Park, NY 11596-1737
Other providers in Williston Park, NY
All providers in Williston Park, 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 Dec 13, 2017. 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.