Copiague Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007445 Issued in NY

Legal business name

COPIAGUE CHIROPRACTIC, PC

Practice address

1700 Great Neck Rd
Suite 103B
Copiague, NY 11726-2723

Phone

(631) 608-8700

Fax

(631) 608-8698

NPI assigned

Jul 5, 2011

Last updated

Jul 5, 2011By 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. Cathyanne Amdur, D.C.

Title

President

Phone

(631) 608-8700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Todd Amdur, D.C.

  • Chiropractor
  • Babylon, NY
  • NPI 1255413217
  Medicare reassignment NPD

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1780971358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 GREAT NECK RD",
            "address_2": "SUITE 103B",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117262723",
            "telephone_number": "631-608-8700",
            "fax_number": "631-608-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GREAT NECK RD",
            "address_2": "SUITE 103B",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117262723",
            "telephone_number": "631-608-8700",
            "fax_number": "631-608-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPIAGUE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "AMDUR",
        "authorized_official_first_name": "CATHYANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-608-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakera Shelsea Cockett III
• Kayla Marie Collado
• Sharon E Collins, LPN
• Tiffany A Contreras, MSW
• Jacob Leib Cooper, LCSW
• Copiague Public School
• Gary Cullin, DC
• CVS Albany LLC (CVS Pharmacy #16510)
• CVS Albany, LLC (CVS Pharmacy #07621)
• Frank D'Angelo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.