Healthcare Provider Details
I. General information
NPI: 1255708228
Provider Name (Legal Business Name): NUVIEW HEALTH MEDICAL, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2015
Last Update Date: 03/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22 W 48TH ST SUITE 306
NEW YORK NY
10036-1803
US
IV. Provider business mailing address
22 W 48TH ST SUITE 306
NEW YORK NY
10036-1803
US
V. Phone/Fax
- Phone: 212-225-8773
- Fax: 212-588-0770
- Phone: 212-225-8773
- Fax: 212-588-0770
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SIDNEY
INKELIS
Title or Position: OWNER
Credential: M.D.
Phone: 212-588-0707