Healthcare Provider Details

I. General information

NPI: 1659952539
Provider Name (Legal Business Name): APEX CHIROPRACTIC NYC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 04/21/2021
Certification Date: 04/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E 54TH ST
NEW YORK NY
10022-5164
US

IV. Provider business mailing address

400 E 54TH ST
NEW YORK NY
10022-5164
US

V. Phone/Fax

Practice location:
  • Phone: 775-720-1010
  • Fax:
Mailing address:
  • Phone: 775-720-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. PATRICIA RESTIVO
Title or Position: BILLING MANAGER
Credential:
Phone: 516-794-4161