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NPI Code Detail

MEDICARE: RGW CHIROPRACTIC DIAGNOSTICS P.C.

MEDICARE: RGW CHIROPRACTIC DIAGNOSTICS P.C.
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1881575132
Entity Type Code : Organization
Provider Name (Legal Business Name) : RGW CHIROPRACTIC DIAGNOSTICS P.C.
Provider Business Mailing Address
First Line : PO BOX 290763
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-0763
Country : US
Telephone Number : 718-975-8060
Fax Number : 718-975-8061
Provider Business Practice Location Address
First Line : 15 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-3659
Country : US
Telephone Number : 718-975-8060
Fax Number : 718-975-8061
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT GLENN WATTON
Credential : D.C.
Telephone Number : 718-975-8060
Provider Enumeration Date : 09/11/2025
Last Update Date : 09/11/2025

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Directions to “RGW CHIROPRACTIC DIAGNOSTICS P.C. ” Practice Location

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