Healthcare Provider Details

I. General information

NPI: 1235290040
Provider Name (Legal Business Name): BALDINI & ISABELLA CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7960 OSWEGO RD
LIVERPOOL NY
13090-1950
US

IV. Provider business mailing address

7960 OSWEGO RD
LIVERPOOL NY
13090-1950
US

V. Phone/Fax

Practice location:
  • Phone: 315-622-7060
  • Fax: 315-622-7061
Mailing address:
  • Phone: 315-622-7060
  • Fax: 315-622-7061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID ISABELLA
Title or Position: OWNER
Credential: DC
Phone: 315-622-7060