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Dr. Pericles Christo Gardianos, DC
Chiropractor in Middletown, New York
NPI 1770513285

Pericles Christo Gardianos is a Chiropractor based in Middletown, NY. Pericles Christo Gardianos practices in Middletown, NY and has the professional credentials of DC. The NPI Number for Pericles Christo Gardianos is 1770513285 and holds a License No. X-007623-1 (New York).

The current practice location address for Pericles Christo Gardianos is 1128 Dolsontown Rd, Middletown, NY and can be reached out via phone at 845-342-1481.

Location: 1128 Dolsontown Rd, Middletown, NY, 10940-4746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770513285
Provider Name
Pericles Christo Gardianos
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1128 Dolsontown Rd, Middletown, NY, 10940-4746
Phone Number
845-342-1481
Fax Number
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
108 6429 01 NY HIPPA EXTENSION CONF. NUM
X-007623-1 01 NY NY CHIRO. LICENSE #
X0-C27 01 NY EMPIRE BC/BS
MC 04656 01 NJ NJ LICENSE #
P 2515 736 01 NY OXFORD NON-PAR. PROVIDER
C07623-4 01 NY NY WORKERS COMPENSATION N
institution
Provider Business Practice Location Address Details
Address
1128 Dolsontown Rd
City
Middletown
State
New York
Zip
10940-4746
Phone Number
845-342-1481
Fax Number
person
Provider Business Mailing Address Details
Address
1128 Dolsontown Rd
City
Middletown
State
New York
Zip
10940-4746
Phone Number
845-342-1481
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X-007623-1 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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