| Wellness Sport & Spine Chiropractic Pllc | |
|
130 Front St, Vestal, NY 13850-1562 | |
| (607) 786-3601 | |
| (607) 834-7029 |
| Full Name | Wellness Sport & Spine Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 130 Front St, Vestal, 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 |
|---|---|---|---|
| 1417009283 | NPI | - | NPPES |
| 000143666 | Other | NY | EXCELLUS BC BS |
| 1003840711 | Other | NY | NPI INDIVIDUAL |
| 100651380167 | Other | NY | CDPHP |
| 5734880001 | Other | NY | DMEPOS |
| 648821 | Other | NY | UNITED HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X009961-1 (New York) | Primary |
| Provider Name | Kim C Miller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003840711 PECOS PAC ID: 5193991065 Enrollment ID: I20120117000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Sport & Spine Chiropractic Pllc 130 Front St, Vestal, NY 13850-1562 Ph: (607) 786-3601 | Wellness Sport & Spine Chiropractic Pllc 130 Front St, Vestal, NY 13850-1562 Ph: (607) 786-3601 |
Dr. Kim C Miller, DC, ATC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 130 Front St, Suite B, Vestal, NY 13850 Phone: 607-786-3601 Fax: 607-834-7029 | |
Dr. Brian Levy Baldia, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2548 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-321-7674 Fax: 607-239-6772 | |
Vestal Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1136 Front St, Vestal, NY 13850 Phone: 607-748-5145 Fax: 607-748-5140 | |
Mr. Donald L Cass, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1013 Glenwood Rd., Vestal, NY 13850 Phone: 607-748-2242 | |
Vestal Family Chiropractic, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Suite 3, Vestal, NY 13850 Phone: 607-239-4310 | |
Dr. Natalie Kay Suwak, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 103 Noyes Rd, Vestal, NY 13850 Phone: 607-624-0943 | |
Zachary Secoolish, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4433 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-754-4850 Fax: 607-754-1477 |