Organization495 Chiropractic, PcChiropractorChiropractic ProvidersPractice Address570 Expressway Dr S, Suite 2c, Medford, NY 11763-2049(516) 319-3839PECOS EnrollmentBased on the most recent information from CMS, provider 495 Chiropractic, Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1912241092Provider TypeOrganizationFull Name495 Chiropractic, PcSubpartNoEnumeration Date11/15/2012Last Updated11/15/2012Contact InformationPractice LocationPractice Address570 Expressway Dr S, Suite 2c, Medford, NY 11763-2049Phone(516) 319-3839FaxUnlisted FaxMailing LocationMailing Address570 Expressway Dr S, Suite 2c, Medford, NY 11763-2049Phone(516) 319-3839FaxUnlisted FaxAuthorized OfficialNamePellegrino, Raymond (Owner)Phone(516) 319-3839Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseUnlisted Issuer