Clover Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CLOVER CHIROPRACTIC PC

Practice address

5 Glenwood St
Great Neck, NY 11021-4010

Phone

(516) 218-0011

NPI assigned

Apr 21, 2023

Organization subpart

No

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

Authorized official

Name

Steven WallachNPI 1508879032

Title

Authorized Official

Phone

(516) 218-0011

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Steven Wallach

  • Chiropractor
  • Great Neck, NY
  • NPI 1508879032
  NPD Authorized official

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1801583547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BOND ST # 490",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GLENWOOD ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214010",
            "telephone_number": "516-218-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "WALLACH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "516-218-0011"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie C Clain, CSW
• Mia Kyong Ju Clar, M.D.
• Clarivex Healthcare Billing LLC
• Tiffany Clarke, PT
• Jessica Lynn Clough, OTR/L
• Stewart Gould Coddington, RN, MS, CDE
• Thomas Edward Coghlan, PSYD
• Cognitive Behavioral Associates, LLP
• Sybil Pader Cohen Glazer, RD CDN MS MA
• Adam Cohen, M.D.

• Chiropractor in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.