MEDICARE: APPLE COUNTRY 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		NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G0186855260	OTHER	NY	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1871618744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLE COUNTRY CHIROPRACTIC, PC

Provider Business Mailing Address
First Line	:	3800 RAILROAD AVE
Second Line	:	P.O. BOX 162
City	:	WILLIAMSON
State	:	NY
Zip	:	14589-0162
Country	:	US
Telephone Number	:	315-589-9221
Fax Number	:	888-505-5758

Provider Business Practice Location Address
First Line	:	3800 RAILROAD AVE
Second Line	:
City	:	WILLIAMSON
State	:	NY
Zip	:	14589-9340
Country	:	US
Telephone Number	:	315-589-9221
Fax Number	:	888-505-5758

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MATTHEW W ALEXANDER
Credential	:	D.C.
Telephone Number	:	315-589-9221

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	04/10/2025

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Directions to “APPLE COUNTRY CHIROPRACTIC, PC ” Practice Location

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