Healthcare Provider Details

I. General information

NPI: 1528424645
Provider Name (Legal Business Name): NEW AMSTERDAM CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2016
Last Update Date: 03/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 5TH AVENUE SUITE 920
NEW YORK NY
10017-8006
US

IV. Provider business mailing address

535 5TH AVENUE SUITE 920
NEW YORK NY
10017-8006
US

V. Phone/Fax

Practice location:
  • Phone: 212-286-0888
  • Fax: 212-286-9725
Mailing address:
  • Phone: 201-857-4011
  • Fax: 201-389-3498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number009922
License Number StateNY

VIII. Authorized Official

Name: DR. NICHOLAS UNGARO
Title or Position: DIRECTOR
Credential: DC
Phone: 212-286-0888