Provider Demographics
NPI:1902439227
Name:DR. KARINA MONEGRO, DC P.C.
Entity Type:Organization
Organization Name:DR. KARINA MONEGRO, DC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONEGRO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:518-364-8288
Mailing Address - Street 1:214 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-3607
Mailing Address - Country:US
Mailing Address - Phone:845-210-9455
Mailing Address - Fax:518-734-0445
Practice Address - Street 1:3136 ROUTE 207
Practice Address - Street 2:
Practice Address - City:CAMPBELL HALL
Practice Address - State:NY
Practice Address - Zip Code:10916-2230
Practice Address - Country:US
Practice Address - Phone:845-210-9455
Practice Address - Fax:518-734-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-14
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty