Provider Demographics
NPI:1588090302
Name:ALIGN CHIROPRACTIC & MASSAGE PLLC
Entity type:Organization
Organization Name:ALIGN CHIROPRACTIC & MASSAGE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:PEARLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:315-314-7761
Mailing Address - Street 1:5781 BRIDGE ST STE 34
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-2944
Mailing Address - Country:US
Mailing Address - Phone:315-314-7761
Mailing Address - Fax:315-299-4723
Practice Address - Street 1:5781 BRIDGE ST STE 34
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-2944
Practice Address - Country:US
Practice Address - Phone:315-314-7761
Practice Address - Fax:315-299-4723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-25
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010783111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU98962Medicare UPIN
NYIA1005Medicare PIN