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NPI Code Detail

MEDICARE: NYC CHIROPRACTIC

MEDICARE: NYC CHIROPRACTIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P1946771OTHERNYOXFORD PIN
2613941OTHERNYUHC PIN
37654667OTHERNYAETNA PIN

General Provider Information

NPI Number : 1033385596
Entity Type Code : Organization
Provider Name (Legal Business Name) : NYC CHIROPRACTIC
Provider Business Mailing Address
First Line : 512 7TH AVE
Second Line : 14TH FLOOR
City : NEW YORK
State : NY
Zip : 10018-4603
Country : US
Telephone Number : 212-768-7979
Fax Number : 212-768-1223
Provider Business Practice Location Address
First Line : 512 7TH AVE
Second Line : 14TH FLOOR
City : NEW YORK
State : NY
Zip : 10018-4603
Country : US
Telephone Number : 212-768-7979
Fax Number : 212-768-1223
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHAEL L KOLIN
Credential : D.C.
Telephone Number : 212-768-7979
Provider Enumeration Date : 05/05/2008
Last Update Date : 05/05/2008

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Directions to “NYC CHIROPRACTIC ” Practice Location

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