Healthcare Provider Details

I. General information

NPI: 1568527075
Provider Name (Legal Business Name): ROBERT J RINGSTON DC; LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 12/16/2019
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8003 211TH ST
QUEENS VILLAGE NY
11427-1012
US

IV. Provider business mailing address

5731 VERRAZANO DR
WAXHAW NC
28173-9837
US

V. Phone/Fax

Practice location:
  • Phone: 718-464-9699
  • Fax: 718-740-0319
Mailing address:
  • Phone: 347-683-5707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4505
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number0148681
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number014868
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number011998
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: