| Upstate Chiropractic, Pc | |
|
138 E. Genesee Street, Baldwinsville, NY 13027 | |
| (315) 635-2333 | |
| (315) 635-3945 |
| Full Name | Upstate Chiropractic, Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Neurology |
| Location | 138 E. Genesee Street, Baldwinsville, 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 |
|---|---|---|---|
| 1639254964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NN0400X | Chiropractor - Neurology | (* (Not Available)) | Primary |
| Provider Name | Eric E Croucher |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962500017 PECOS PAC ID: 3274533856 Enrollment ID: I20120214000005 |
| Provider Name | Edwin Ernest Croucher |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194250787 PECOS PAC ID: 0143507871 Enrollment ID: I20170508000896 |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Chiropractic, Pc 136 E Genesee St, Baldwinsville, NY 13027-2720 Ph: (315) 635-2333 | Upstate Chiropractic, Pc 138 E. Genesee Street, Baldwinsville, NY 13027 Ph: (315) 635-2333 |
Dr. James Raymond Dougherty Jr., D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2272 Downer Street Rd, Baldwinsville, NY 13027 Phone: 315-635-1231 Fax: 315-638-3591 | |
Dr. Joanne L Bowen, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3090 Belgium Rd, Baldwinsville, NY 13027 Phone: 315-729-0573 | |
Dr. Edwin Ernest Croucher Iii, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 136 E Genesee St, Baldwinsville, NY 13027 Phone: 315-635-2333 | |
Christopher G Darcy, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3444 Route 31, Suite 3, Baldwinsville, NY 13027 Phone: 315-622-0412 Fax: 315-622-0413 | |
Dr. Joan Coff, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 92 E Genesee St, Baldwinsville, NY 13027 Phone: 315-635-2739 | |
Baldwinsville Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 2272 Downer Street Rd, Baldwinsville, NY 13027 Phone: 315-635-1231 |