Healthcare Provider Details

I. General information

NPI: 1003306036
Provider Name (Legal Business Name): WELLNESS ACUPUNCTURE AND CHIROPRACTIC LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2018
Last Update Date: 05/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 LEXINGTON AVE RM 1004
NEW YORK NY
10016-0941
US

IV. Provider business mailing address

353 LEXINGTON AVE RM 1004
NEW YORK NY
10016-0941
US

V. Phone/Fax

Practice location:
  • Phone: 212-293-1722
  • Fax: 212-293-1725
Mailing address:
  • Phone: 212-293-1722
  • Fax: 201-431-5066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. WARNER CHEN
Title or Position: PARTNER
Credential: LAC
Phone: 201-982-1983