Healthcare Provider Details
I. General information
NPI: 1427340108
Provider Name (Legal Business Name): BETTER BODY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2011
Last Update Date: 05/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
535 5TH AVE #920
NEW YORK NY
10017-3620
US
IV. Provider business mailing address
535 5TH AVE #920
NEW YORK NY
10017-3620
US
V. Phone/Fax
- Phone: 212-286-0888
- Fax: 212-286-9725
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NN0400X |
| Taxonomy | Neurology Chiropractor |
| License Number | X009921-1 |
| License Number State | NY |
VIII. Authorized Official
Name:
NICHOLAS
UNGARO
Title or Position: OWNER
Credential: DC
Phone: 212-286-0888