Healthcare Provider Details

I. General information

NPI: 1306016092
Provider Name (Legal Business Name): OSSINING CHIROPRACTIC OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2008
Last Update Date: 01/10/2020
Certification Date: 01/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 CROTON AVE
OSSINING NY
10562-4903
US

IV. Provider business mailing address

71 CROTON AVE
OSSINING NY
10562-4903
US

V. Phone/Fax

Practice location:
  • Phone: 914-941-1141
  • Fax: 914-941-1141
Mailing address:
  • Phone: 914-941-1141
  • Fax: 914-941-1141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX0081971
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD LOUIS FINEWOOD
Title or Position: OWNER
Credential:
Phone: 914-941-1141