1497963094 NPI number — DUNSKY REHAB AND SPINE CENTER, PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497963094 NPI number — DUNSKY REHAB AND SPINE CENTER, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DUNSKY REHAB AND SPINE CENTER, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DUNSKY REHABILITATION & SPINE CENTER, P.C.
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497963094
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 WORCESTER RD STE 402
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRAMINGHAM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01702-5360
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-309-7475
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 WORCESTER ROAD
Provider Second Line Business Practice Location Address:
SUITE 402
Provider Business Practice Location Address City Name:
FRAMINGHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01702-5360
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-309-7475
Provider Business Practice Location Address Fax Number:
508-309-7455
Provider Enumeration Date:
05/18/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DUNSKY
Authorized Official First Name:
JOSHUA
Authorized Official Middle Name:
EDWARD
Authorized Official Title or Position:
OWNER/CHIROPRACTOR
Authorized Official Telephone Number:
617-875-7770

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)