Healthcare Provider Details

I. General information

NPI: 1245446277
Provider Name (Legal Business Name): SCOLIOSIS SYSTEMS OF CHIROPRACTIC, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 PARK AVE SUITE 1E
NEW YORK NY
10128-1168
US

IV. Provider business mailing address

1085 PARK AVE SUITE 1E
NEW YORK NY
10128-1168
US

V. Phone/Fax

Practice location:
  • Phone: 212-360-7760
  • Fax: 212-360-7974
Mailing address:
  • Phone: 212-360-7760
  • Fax: 212-360-7974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberX8247
License Number StateNY

VIII. Authorized Official

Name: DR. MARC J. LAMANTIA
Title or Position: PARTNER
Credential: D.C.
Phone: 212-360-7760