Healthcare Provider Details

I. General information

NPI: 1265083745
Provider Name (Legal Business Name): REPAIR RECOVER RESTORE CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2019
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 CHURCH ST STE 200
WHITE PLAINS NY
10601-1518
US

IV. Provider business mailing address

95 CHURCH ST STE 200
WHITE PLAINS NY
10601-1518
US

V. Phone/Fax

Practice location:
  • Phone: 914-506-5777
  • Fax: 914-328-8003
Mailing address:
  • Phone: 914-506-5777
  • Fax: 315-936-3647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN HANDLER
Title or Position: CO-OWNER
Credential: DC
Phone: 845-598-8137