MEDICARE: ALL ACCESS CHIROPRACTIC P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP3300X	Pain Clinic/Center	010025	NY

General Provider Information

NPI Number	:	1295179174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL ACCESS CHIROPRACTIC P.C.

Provider Business Mailing Address
First Line	:	162 VILLAGE AVE
Second Line	:
City	:	ELMONT
State	:	NY
Zip	:	11003-4238
Country	:	US
Telephone Number	:	516-830-8671
Fax Number	:

Provider Business Practice Location Address
First Line	:	13102 LIBERTY AVE
Second Line	:
City	:	SOUTH RICHMOND HILL
State	:	NY
Zip	:	11419-3124
Country	:	US
Telephone Number	:	516-444-7198
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN PHILLIP ROSS
Credential	:	D.C.
Telephone Number	:	516-444-7198

Provider Enumeration Date	:	04/23/2013
Last Update Date	:	04/25/2013

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