Prohealth Chiropractic Rehabilitation PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

70 008936 Issued in NY

Legal business name

PROHEALTH CHIROPRACTIC REHABILITATION PC

Practice address

400 W Main St
Suite 101
Riverhead, NY 11901-2813

Phone

(904) 290-1846

Fax

(904) 417-7177

NPI assigned

Feb 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Labbadia, D.C.

Title

President

Phone

(904) 290-1846

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1962741108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012813",
            "telephone_number": "904-290-1846",
            "fax_number": "904-417-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012813",
            "telephone_number": "904-290-1846",
            "fax_number": "904-417-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH CHIROPRACTIC REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "LABBADIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-290-1846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70 008936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• QC - Medi New York, Inc.
• Quality Hearing Aid, Inc.
• Oscar R Quezada, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.