Healthcare Provider Details

I. General information

NPI: 1558554311
Provider Name (Legal Business Name): ACUPUNCTURE AND CHIROPRACTIC ALTERNATIVE CARE, P.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

1 ANDREW CT
WOODBURY NY
11797-1109
US

IV. Provider business mailing address

PO BOX 242
WOODBURY NY
11797-0242
US

V. Phone/Fax

Practice location:
  • Phone: 516-692-6511
  • Fax: 516-692-6023
Mailing address:
  • Phone: 516-692-6511
  • Fax: 516-692-6023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberX003179
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberX00950
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX003179
License Number StateNY

VIII. Authorized Official

Name: DR. JANICE C. SALAYKA
Title or Position: OWNER
Credential: D.C., L.AC.
Phone: 516-692-6511