Provider Demographics
NPI:1356133664
Name:ROCKLAND CHIROPRACTIC AND PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:ROCKLAND CHIROPRACTIC AND PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YOUNG SOOK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-385-6962
Mailing Address - Street 1:1 PERLMAN DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-5967
Mailing Address - Country:US
Mailing Address - Phone:845-385-6962
Mailing Address - Fax:
Practice Address - Street 1:142 AARON CT
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-2962
Practice Address - Country:US
Practice Address - Phone:845-385-6962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty