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General NPI Number Information
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NPI Number | 1285969030
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Entity Type | Individual
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Provider Name | ROSS ALAN FIALKOV D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 213 SUMMIT RD STE 2L
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-2316
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Country | US
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Telephone | 908-264-8116
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Fax | 888-908-8284
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Provider Business Mailing Address
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Address Line | 149 TWIN LN N
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City | WANTAGH
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State | NY
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Zip | 11793-1943
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Country | US
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Telephone | 516-658-3362
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Fax | 516-595-1685
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X012532
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00780100
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License Number State | NJ
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