Healthcare Provider Details

I. General information

NPI: 1053850669
Provider Name (Legal Business Name): EMPIRE CHIROPRACTIC & NURSE PRACTITIONER ACUTE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2017
Last Update Date: 04/16/2020
Certification Date: 04/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 E 48TH ST 6 FLOOR
NEW YORK NY
10017-1017
US

IV. Provider business mailing address

16 E 48TH ST 6 FLOOR
NEW YORK NY
10017-1017
US

V. Phone/Fax

Practice location:
  • Phone: 212-206-6400
  • Fax: 917-591-3493
Mailing address:
  • Phone: 212-206-6400
  • Fax: 917-591-3493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. BARTHOLOMEW BARGIEL
Title or Position: CHIROPRACTOR
Credential: DR
Phone: 212-206-6400