Atlantic Chiropractic of Shirley P.C.
Organization Active NPI Chiropractor · Shirley, NY
NPI 1306927652 · NPPES record last updated Feb 13, 2008
Key facts
- NPI
- 1306927652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- X006269 (NY)
- Legal business name
- ATLANTIC CHIROPRACTIC OF SHIRLEY P.C.
- Practice address
- 409 WM. Floyd Parkway
Shirley, NY 11967-3434 - Phone
- (631) 395-7424
- Fax
- (631) 395-7420
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. David I Gozinsky, DC
- Title
- President
- Phone
- (631) 395-7424
Practitioners 2
-
David Gozinsky, D.C.
-
David Lee Shapiro, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090513000034 | NY | Part B Supplier - Clinic/Group Practice | 9335298876 |
Receives reassigned benefits from 1 practitioner Practice locations: Shirley, NY |
National Provider Directory
Locations
409 William Floyd Pkwy
Shirley, NY 11967
Phone (631) 395-7424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | X006269 | NY | Yes |
Addresses
Primary practice location
409 WM. Floyd Parkway
Shirley, NY 11967-3434
Mailing address
409 WM. Floyd Parkway
Shirley, NY 11967-3434
Phone (631) 395-7424
Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2008. 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.