MND Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8464 Issued in NY

Legal business name

MND CHIROPRACTIC, PC

Practice address

2244 Palisades Center Dr
West Nyack, NY 10994-6402

Phone

(845) 358-7828

Fax

(845) 358-4484

NPI assigned

Sep 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Colarusso, D.C.

Title

Owner

Phone

(845) 358-7828

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407951957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 PALISADES CENTER DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109946402",
            "telephone_number": "845-358-7828",
            "fax_number": "845-358-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 PALISADES CENTER DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109946402",
            "telephone_number": "845-358-7828",
            "fax_number": "845-358-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MND CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLARUSSO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-358-7828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "8464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.