Healthcare Provider Details

I. General information

NPI: 1780085886
Provider Name (Legal Business Name): EVEREST CHIROPRACTIC, P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2014
Last Update Date: 09/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 W 57TH ST SUITE B/C
NEW YORK NY
10019-1752
US

IV. Provider business mailing address

415 W 57TH ST SUITE B/C
NEW YORK NY
10019-1752
US

V. Phone/Fax

Practice location:
  • Phone: 917-406-9683
  • Fax: 212-246-1088
Mailing address:
  • Phone: 917-406-9683
  • Fax: 212-246-1088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. GABRIEL NADEL
Title or Position: CHIROPRACTOR / OWNER
Credential: D.C.
Phone: 917-406-9683