MEDICARE: DONALD PRITT DC

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
1	111N00000X	Chiropractor	012472	NY

General Provider Information

NPI Number	:	1235539347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD PRITT DC

Provider Business Mailing Address
First Line	:	241 W 30TH ST
Second Line	:	SUITE 102
City	:	NEW YORK
State	:	NY
Zip	:	10001-2823
Country	:	US
Telephone Number	:	212-691-7690
Fax Number	:	480-813-1868

Provider Business Practice Location Address
First Line	:	241 W 30TH ST
Second Line	:	SUITE 102
City	:	NEW YORK
State	:	NY
Zip	:	10001-2823
Country	:	US
Telephone Number	:	212-691-7690
Fax Number	:	480-813-1868

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2014
Last Update Date	:	08/26/2014

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Directions to “ DONALD PRITT DC” Practice Location

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