Healthcare Provider Details

I. General information

NPI: 1568603231
Provider Name (Legal Business Name): NEW WORLD CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2009
Last Update Date: 02/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 ROUTE 202
SOMERS NY
10589
US

IV. Provider business mailing address

380 ROUTE 202
SOMERS NY
10589
US

V. Phone/Fax

Practice location:
  • Phone: 914-276-3030
  • Fax: 914-471-8339
Mailing address:
  • Phone: 914-276-3030
  • Fax: 914-471-8339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX008726
License Number StateNY

VIII. Authorized Official

Name: DR. CHRISTINE ANN VLACHOS
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 914-276-3030