MEDICARE: SALINAS COMPREHENSIVE CHIROPRACTIC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	010620	NY

General Provider Information

NPI Number	:	1306057898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALINAS COMPREHENSIVE CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	444 PARK AVE S
Second Line	:	SUITE 602
City	:	NEW YORK
State	:	NY
Zip	:	10016-7321
Country	:	US
Telephone Number	:	212-685-9123
Fax Number	:	212-685-9190

Provider Business Practice Location Address
First Line	:	444 PARK AVE S
Second Line	:	SUITE 602
City	:	NEW YORK
State	:	NY
Zip	:	10016-7321
Country	:	US
Telephone Number	:	212-685-9123
Fax Number	:	212-685-9190

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL MICHAEL SALINAS
Credential	:	D.C.
Telephone Number	:	212-685-9123

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	01/26/2010

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