Healthcare Provider Details

I. General information

NPI: 1700972007
Provider Name (Legal Business Name): MELISSA PANAYIOTA KANES DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 5TH AVENUE SUITE 1322
NEW YORK NY
10118
US

IV. Provider business mailing address

350 5TH AVENUE SUITE 1322
NEW YORK NY
10118
US

V. Phone/Fax

Practice location:
  • Phone: 646-733-2201
  • Fax: 646-733-2202
Mailing address:
  • Phone: 646-733-2201
  • Fax: 646-733-2202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX0080893
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: