ELLICOTT SQUARE CHIROPRACTIC PLLC NPI 1003009507

Chiropractor in Tonawanda, NY

About ELLICOTT SQUARE CHIROPRACTIC PLLC

Ellicott Square Chiropractic Pllc is a provider in Tonawanda, NY. The NPI number assigned to this provider is 1003009507. The practitioner's primary taxonomy code is Chiropractor (111N00000X). The provider is registered as an organization and their NPI record was last updated one year ago. Ellicott Square Chiropractic Pllc operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003009507 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameELLICOTT SQUARE CHIROPRACTIC PLLC
Provider Location Address2075 SHERIDAN DR TONAWANDA, NY 14223 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2075 SHERIDAN DR TONAWANDA, NY 14223 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-20-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date11-15-2016 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ELLICOTT SQUARE CHIROPRACTIC PLLC
2075 SHERIDAN DR
TONAWANDA, NY
ZIP 14223
Phone: (716) 852-2696
Fax: (716) 852-2699
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Mailing Address

ELLICOTT SQUARE CHIROPRACTIC PLLC
2075 SHERIDAN DR
TONAWANDA, NY
ZIP 14223
Phone: (716) 852-2696
Fax: (716) 852-2699

Primary Taxonomy

Taxonomy Code111N00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationChiropractor
TypeChiropractic Providers
License No.008944
License StateNY
Taxonomy DescriptionA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Authorized Official

Authorized Official NameDR. NEAL PAUL PIGNATORA III DC Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(716) 852-2696

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
U70087MEDICARE UPIN (02)NY
BA0175MEDICARE PIN (08)NY

Map Location


ELLICOTT SQUARE CHIROPRACTIC PLLC address is 2075 SHERIDAN DR TONAWANDA, NY 14223

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205857265GENESSEE VALLEY GROUP HEALTH ASSOC
Organization
Pharmacy (Clinic Pharmacy)2075 SHERIDAN DR
BUFFALO, NY 14223
(716) 874-1850
1285734483GENESEE VALLEY GROUP HEALTH ASSOCIATION
Organization
Pharmacy (Institutional Pharmacy)2075 SHERIDAN DR PHARMACY
BUFFALO, NY 14223
(716) 847-1850
1346769858 RAYMOND SHU DPT
Individual
Physical Therapist (Neurology)2075 SHERIDAN DR
KENMORE, NY 14223
(716) 803-8220
1477009652 KELLY BALSOM PT, DPT
Individual
Physical Therapist2075 SHERIDAN DR
KENMORE, NY 14223
(716) 803-8220
1558304071DR. NEAL PAUL PIGNATORA III D.C.
Individual
Chiropractor2075 SHERIDAN DR
TONAWANDA, NY 14223
(716) 852-2696
1689948515NORTHTOWNS ORTHOPEDICS, PC
Organization
Specialist2075 SHERIDAN DR
TONAWANDA, NY 14223
(716) 636-1470