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NPI Code Detail

MEDICARE: EVEREST CHIROPRACTIC, P.C

MEDICARE: EVEREST 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
1111NI0013XIndependent Medical Examiner Chiropractor

General Provider Information

NPI Number : 1780085886
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVEREST CHIROPRACTIC, P.C
Provider Business Mailing Address
First Line : 415 W 57TH ST
Second Line : SUITE B/C
City : NEW YORK
State : NY
Zip : 10019-1752
Country : US
Telephone Number : 917-406-9683
Fax Number : 212-246-1088
Provider Business Practice Location Address
First Line : 415 W 57TH ST
Second Line : SUITE B/C
City : NEW YORK
State : NY
Zip : 10019-1752
Country : US
Telephone Number : 917-406-9683
Fax Number : 212-246-1088
Authorized Official
Title or Position : CHIROPRACTOR / OWNER
Name : DR. GABRIEL NADEL
Credential : D.C.
Telephone Number : 917-406-9683
Provider Enumeration Date : 09/08/2014
Last Update Date : 09/08/2014

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Directions to “EVEREST CHIROPRACTIC, P.C ” Practice Location

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