Provider Demographics
NPI:1124786199
Name:CLOUD 9 CHIROPRACTIC
Entity type:Organization
Organization Name:CLOUD 9 CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:VELTRE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-665-3766
Mailing Address - Street 1:2116 MERRICK AVE STE 3009
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3410
Mailing Address - Country:US
Mailing Address - Phone:516-665-3766
Mailing Address - Fax:516-665-3768
Practice Address - Street 1:2116 MERRICK AVE STE 3009
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3410
Practice Address - Country:US
Practice Address - Phone:516-665-3766
Practice Address - Fax:516-665-3768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1760902894OtherWORKERS COMP