MEDICARE: NATURAL HEALTH CHIROPRACTIC, P.C.

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	261Q00000X	Clinic/Center	X010109	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538429832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATURAL HEALTH CHIROPRACTIC, P.C.

Provider Business Mailing Address
First Line	:	139 CENTRE STREET
Second Line	:	SUITE 214
City	:	NEW YORK
State	:	NY
Zip	:	10013-4553
Country	:	US
Telephone Number	:	212-274-1488
Fax Number	:	212-219-0148

Provider Business Practice Location Address
First Line	:	139 CENTRE STREET
Second Line	:	SUITE 214
City	:	NEW YORK
State	:	NY
Zip	:	10013-4553
Country	:	US
Telephone Number	:	212-274-1488
Fax Number	:	212-219-0148

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL K SHENG
Credential	:	D.C.
Telephone Number	:	212-274-1488

Provider Enumeration Date	:	05/21/2012
Last Update Date	:	05/21/2012

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