MEDICARE: ALLAN WEISBERG DC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X002259-1	NY

General Provider Information

NPI Number	:	1023297751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLAN WEISBERG DC PC

Provider Business Mailing Address
First Line	:	235 EAST 49 STREET
Second Line	:	LOWER LEVEL
City	:	NEW YORK
State	:	NY
Zip	:	10017
Country	:	US
Telephone Number	:	212-688-2900
Fax Number	:	212-759-8046

Provider Business Practice Location Address
First Line	:	235 E 49TH ST
Second Line	:	LOWER LEVEL
City	:	NEW YORK
State	:	NY
Zip	:	10017-1537
Country	:	US
Telephone Number	:	212-688-2900
Fax Number	:	212-759-8046

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALLAN L WEISBERG
Credential	:	DC
Telephone Number	:	212-688-2900

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	10/23/2014

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