MEDICARE: WARRIOR CHIROPRACTIC LLC

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

General Provider Information

NPI Number	:	1841954807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARRIOR CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	20 W 23RD ST FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-5237
Country	:	US
Telephone Number	:	646-908-0923
Fax Number	:	833-352-7497

Provider Business Practice Location Address
First Line	:	20 W 23RD ST FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-5237
Country	:	US
Telephone Number	:	646-908-0923
Fax Number	:	833-352-7497

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN ALEXANDER
Credential	:	DC
Telephone Number	:	646-908-0293

Provider Enumeration Date	:	10/26/2021
Last Update Date	:	01/10/2023

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