Healthcare Provider Details

I. General information

NPI: 1033385596
Provider Name (Legal Business Name): NYC CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 7TH AVE 14TH FLOOR
NEW YORK NY
10018-4603
US

IV. Provider business mailing address

512 7TH AVE 14TH FLOOR
NEW YORK NY
10018-4603
US

V. Phone/Fax

Practice location:
  • Phone: 212-768-7979
  • Fax: 212-768-1223
Mailing address:
  • Phone: 212-768-7979
  • Fax: 212-768-1223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MICHAEL L KOLIN
Title or Position: PRESIDENT
Credential: D.C.
Phone: 212-768-7979