Healthcare Provider Details

I. General information

NPI: 1306766886
Provider Name (Legal Business Name): FLOURISH CHIROPRACTIC & WELLNESS 2 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MADISON AVE STE 205
PARAMUS NJ
07652-2721
US

IV. Provider business mailing address

22 MADISON AVE STE 205
PARAMUS NJ
07652-2721
US

V. Phone/Fax

Practice location:
  • Phone: 201-845-8722
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. VICTORIA CIROALO
Title or Position: OWNER
Credential: DC
Phone: 201-845-8722