| Spinal Wellness Center | |
|
2021 Western Ave, 102, Albany, NY 12203-5069 | |
| (518) 869-3415 | |
| Not Available |
| Full Name | Spinal Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 2021 Western Ave, Albany, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619233400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X009338-1 (New York) | Secondary |
| 111NS0005X | Chiropractor - Sports Physician | X012138-1 (New York) | Primary |
| Provider Name | Kim M Leis Keeling |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922069699 PECOS PAC ID: 7214827906 Enrollment ID: I20120508000014 |
| Provider Name | Amanda Lynn Boccio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902229503 PECOS PAC ID: 1951624923 Enrollment ID: I20150305000914 |
| Provider Name | Emily R Vanderveen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053710806 PECOS PAC ID: 9234514662 Enrollment ID: I20220920003807 |
| Mailing Address | Practice Location Address |
|---|---|
| Spinal Wellness Center 1474 Siver Rd, Guilderland, NY 12084-9775 Ph: (518) 982-0200 | Spinal Wellness Center 2021 Western Ave, 102, Albany, NY 12203-5069 Ph: (518) 869-3415 |
Carol Ann Clas, D.C., LIC. AC. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1529 Western Ave, Albany, NY 12203 Phone: 518-456-4700 | |
Dr. Jay L. Rugoff, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1375 Washington Ave, Suite G102, Albany, NY 12206 Phone: 518-229-6794 Fax: 518-489-6516 | |
Keith S Nussbaum Chiropractor Medicare: Medicare Enrolled Practice Location: 130 Everett Rd, Albany, NY 12205 Phone: 518-482-6175 Fax: 518-459-5134 | |
Claude D. Guerra Dc,pc Chiropractor Medicare: Medicare Enrolled Practice Location: 2016 Central Ave, Albany, NY 12205 Phone: 518-869-7993 Fax: 518-869-3200 | |
Bianca Treski Hughes, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: Pine West Plz Bldg 3, Washington Avenue Extension, Albany, NY 12205 Phone: 607-329-8769 | |
Dr. Kirsten Hamilton Degonzague, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 344 Fuller Rd, Inner Balance Chiropractic, Albany, NY 12203 Phone: 518-482-2003 Fax: 518-482-2087 | |
Magnolia Chiropractic Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8 Corporate Cir, Albany, NY 12203 Phone: 518-608-4446 Fax: 518-456-0942 |