Healthcare Provider Details

I. General information

NPI: 1740454677
Provider Name (Legal Business Name): ESSENTIAL WELLNESS CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 N JERUSALEM RD
EAST MEADOW NY
11554-4633
US

IV. Provider business mailing address

PO BOX 511
EAST MEADOW NY
11554-0511
US

V. Phone/Fax

Practice location:
  • Phone: 516-538-2371
  • Fax: 516-538-2371
Mailing address:
  • Phone: 516-538-2371
  • Fax: 516-538-2371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JOY BUSCEMI
Title or Position: CHIROPRACTOR
Credential: D.C., M.S.
Phone: 516-538-2371