Healthcare Provider Details

I. General information

NPI: 1194757286
Provider Name (Legal Business Name): MOHSEN RADPASAND DC, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/21/2022
Certification Date: 06/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177A E MAIN ST STE 376
NEW ROCHELLE NY
10801-5711
US

IV. Provider business mailing address

177A E MAIN ST STE 376
NEW ROCHELLE NY
10801-5711
US

V. Phone/Fax

Practice location:
  • Phone: 813-666-5379
  • Fax:
Mailing address:
  • Phone: 881-366-6537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number11944
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH-11611
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: