Provider Demographics
NPI:1881575132
Name:RGW CHIROPRACTIC DIAGNOSTICS P.C.
Entity type:Organization
Organization Name:RGW CHIROPRACTIC DIAGNOSTICS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:WATTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-975-8060
Mailing Address - Street 1:PO BOX 290763
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-0763
Mailing Address - Country:US
Mailing Address - Phone:718-975-8060
Mailing Address - Fax:718-975-8061
Practice Address - Street 1:15 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-3659
Practice Address - Country:US
Practice Address - Phone:718-975-8060
Practice Address - Fax:718-975-8061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty