1710987250 NPI number — DR. ANTHONY L RINALDI DC

Table of content: DR. ANTHONY L RINALDI DC (NPI 1710987250)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710987250 NPI number — DR. ANTHONY L RINALDI DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RINALDI
Provider First Name:
ANTHONY
Provider Middle Name:
L
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1710987250
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
567 KIMBALL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YONKERS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10704-1500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-237-4144
Provider Business Mailing Address Fax Number:
914-237-5322

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
567 KIMBALL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10704-1500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-237-4144
Provider Business Practice Location Address Fax Number:
914-237-5322
Provider Enumeration Date:
07/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  X004048-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4281927003 . This is a "CIGNA HEALTH CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0083194 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 26324 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P644882 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 050004048NY01 . This is a "ANTHEM HEALTH & LIFE INS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1091074100 . This is a "ACS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: X23611 . This is a "EMPIRE BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1C9272 . This is a "HEALTH NET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 603843 . This is a "AMERICAN CHIROPRACTIC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 6508 . This is a "AMER SPECIALTY HEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 945363 . This is a "LANDMARK" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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