Provider Demographics
NPI:1104102078
Name:OUR GENTLE TOUCH CHIROPRACTIC OF THE BRONX, P.C.
Entity type:Organization
Organization Name:OUR GENTLE TOUCH CHIROPRACTIC OF THE BRONX, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARTENLAUB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-466-4900
Mailing Address - Street 1:8 BOND ST STE 201
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2418
Mailing Address - Country:US
Mailing Address - Phone:516-466-4900
Mailing Address - Fax:718-279-7958
Practice Address - Street 1:8 BOND ST STE 201
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2418
Practice Address - Country:US
Practice Address - Phone:516-466-4900
Practice Address - Fax:516-466-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009022111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty