Healthcare Provider Details

I. General information

NPI: 1447443395
Provider Name (Legal Business Name): NORTH COUNTY CHIROPRACTIC, P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 08/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 ROUTE 202
SOMERS NY
10589-3222
US

IV. Provider business mailing address

380 ROUTE 202
SOMERS NY
10589-3222
US

V. Phone/Fax

Practice location:
  • Phone: 914-276-3030
  • Fax: 914-276-3031
Mailing address:
  • Phone: 914-276-3030
  • Fax: 914-276-3031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX008290
License Number StateNY

VIII. Authorized Official

Name: DR. RALPH DICURCIO
Title or Position: OWNER
Credential: DC
Phone: 914-276-3030