Provider Demographics
NPI:1073220091
Name:CAMARATA CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:CAMARATA CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMARATA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:585-507-1652
Mailing Address - Street 1:3237 UNION ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CHILI
Mailing Address - State:NY
Mailing Address - Zip Code:14514-1129
Mailing Address - Country:US
Mailing Address - Phone:585-507-1652
Mailing Address - Fax:
Practice Address - Street 1:3237 UNION ST
Practice Address - Street 2:
Practice Address - City:NORTH CHILI
Practice Address - State:NY
Practice Address - Zip Code:14514-1129
Practice Address - Country:US
Practice Address - Phone:585-507-1652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1356772990OtherNPPES
NY1174259147OtherNPPES