Provider Demographics
NPI:1063608511
Name:NEW YORK WELLNESS COACH INC
Entity type:Organization
Organization Name:NEW YORK WELLNESS COACH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHWEIGERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:631-365-4947
Mailing Address - Street 1:9 GLATTER LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11720-1009
Mailing Address - Country:US
Mailing Address - Phone:631-365-4947
Mailing Address - Fax:
Practice Address - Street 1:9 GLATTER LN
Practice Address - Street 2:
Practice Address - City:SOUTH SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11720-1009
Practice Address - Country:US
Practice Address - Phone:631-365-4947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006051111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX006051OtherLICENSE #
NYX006104-1OtherLICENSE NUMBER