Cordova Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CORDOVA CHIROPRACTIC PC

Practice address

6535 Queens Blvd
Suite 100
Woodside, NY 11377-5769

Phone

(718) 426-4242

NPI assigned

Apr 6, 2016

Organization subpart

No

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

Authorized official

Name

Katerine RaymondiNPI 1447547096

Title

DC

Phone

(908) 546-2816

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katerine Raymondi, D.C.

  • Chiropractor
  • Corona, NY
  • NPI 1447547096
  NPD (past) Authorized official

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1497119465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 88TH ST",
            "address_2": "APT 207",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113692147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 QUEENS BLVD",
            "address_2": "SUITE 100",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775769",
            "telephone_number": "718-426-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDOVA CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "RAYMONDI",
        "authorized_official_first_name": "KATERINE",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "908-546-2816"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "X012537-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliammy Patricia Contreras
• Larette Denise Cooper, BA
• Leanna Coppin, LMSW
• Elaine Cristina Corcoran, LMHC
• Sue Cordero-Londono, OTR/L
• Mary Anne Corkery, RN
• Deirdre Corrigan, L.AC.
• Anthony Evander Corvus
• George Coste
• Jose Enrique Cotto, LCSW

• Chiropractor in Woodside, NY
• Providers in Woodside, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.