Organization · NPI-2
Village Square Health & Medical PC
Neuromusculoskeletal Medicine & OMM · Glen Cove, NY
NPI number1245318740
StatusActive
Last updated in NPPESOct 17, 2012
Details
- NPI
- 1245318740
- Entity type
- Organization (NPI-2)
- Legal business name
- Village Square Health & Medical PC
- Organization subpart
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Oct 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204D00000X | Neuromusculoskeletal Medicine & OMM | 299998-1 | NY | Yes |
| 111N00000X | Chiropractor | 3702-1 | NY |
Other names
- Village Square Heatlh & Wellness (Doing Business As)
Practice location
7 Village SquareGlen Cove, NY 11542
Phone 516-759-2032 · Fax 516-759-2117
Mailing address
7 Village SquareGlen Cove, NY 11542
Phone 516-759-2032 · Fax 516-759-2117
Authorized official
Frank D Cohen
Administrator
5167592032
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.