Provider Demographics
NPI:1063236206
Name:INDIGO CHIROPRACTIC WELLNESS PC
Entity type:Organization
Organization Name:INDIGO CHIROPRACTIC WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIELINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:347-466-2114
Mailing Address - Street 1:370 LEXINGTON AVE RM 1212
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6584
Mailing Address - Country:US
Mailing Address - Phone:347-466-2114
Mailing Address - Fax:
Practice Address - Street 1:370 LEXINGTON AVE RM 1212
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6584
Practice Address - Country:US
Practice Address - Phone:347-466-2114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty