Provider Demographics
NPI:1699401505
Name:KREMBS CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:KREMBS CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KREMBS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:607-296-0896
Mailing Address - Street 1:72 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1648
Mailing Address - Country:US
Mailing Address - Phone:607-296-0896
Mailing Address - Fax:
Practice Address - Street 1:72 SOUTH ST
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1648
Practice Address - Country:US
Practice Address - Phone:607-296-0896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service