Organization · Type 2 NPI
Thomas J. Larosa DC PC
Medical Specialty Clinic/Center · Pine Bush, NY
Practice location
76 Boniface Dr Ste 2
Pine Bush, NY 12566-4611
Fax (845) 744-6153
Mailing address
PO Box 1272
Pine Bush, NY 12566-1272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | X04723-1 (NY) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Another provider at this address
About NPI 1821390048
Thomas J. Larosa DC PC's National Provider Identifier is 1821390048, issued on Nov 19, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Pine Bush, NY. The record was last updated on Aug 17, 2022.