MEDICARE: PROFFESSIONAL HEALTHCARE& CHIROPRACTIC SERVICES 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	273Y00000X	Rehabilitation Hospital Unit

General Provider Information

NPI Number	:	1477625846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFFESSIONAL HEALTHCARE& CHIROPRACTIC SERVICES PC

Provider Business Mailing Address
First Line	:	641 LEXINGTON AVE FL 14
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-4503
Country	:	US
Telephone Number	:	866-335-4040
Fax Number	:

Provider Business Practice Location Address
First Line	:	641 LEXINGTON AVE FL 14
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-4503
Country	:	US
Telephone Number	:	866-335-4040
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL CHILLEMI
Credential	:	D.C.
Telephone Number	:	866-335-4040

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	08/22/2020

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