Provider Demographics
NPI:1104419464
Name:DEGIS CHIROPRACTIC CARE, P.C.
Entity type:Organization
Organization Name:DEGIS CHIROPRACTIC CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:IGOR
Authorized Official - Last Name:DEGIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-253-7347
Mailing Address - Street 1:75 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-6236
Mailing Address - Country:US
Mailing Address - Phone:516-987-2530
Mailing Address - Fax:
Practice Address - Street 1:632 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-2614
Practice Address - Country:US
Practice Address - Phone:212-432-5847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty