Healthcare Provider Details

I. General information

NPI: 1902439227
Provider Name (Legal Business Name): DR. KARINA MONEGRO, DC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2020
Last Update Date: 09/30/2021
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3136 ROUTE 207
CAMPBELL HALL NY
10916-2230
US

IV. Provider business mailing address

214 HIGHLAND AVE
MIDDLETOWN NY
10940-3607
US

V. Phone/Fax

Practice location:
  • Phone: 845-210-9455
  • Fax: 518-734-0445
Mailing address:
  • Phone: 845-210-9455
  • Fax: 518-734-0445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: DR. KARINA MONEGRO
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 518-364-8288