Provider Demographics
NPI:1154530921
Name:HEALTHWORLD CHIROPRACTIC GROUP P C
Entity type:Organization
Organization Name:HEALTHWORLD CHIROPRACTIC GROUP P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:BURTON
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC MS
Authorized Official - Phone:914-683-1777
Mailing Address - Street 1:234 N CENTRAL AVE
Mailing Address - Street 2:ROOM 204
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1809
Mailing Address - Country:US
Mailing Address - Phone:914-683-1777
Mailing Address - Fax:914-683-8951
Practice Address - Street 1:234 N CENTRAL AVE
Practice Address - Street 2:ROOM 204
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1809
Practice Address - Country:US
Practice Address - Phone:914-683-1777
Practice Address - Fax:914-683-8951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003307-1111N00000X
NY003843-1133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU34493Medicare UPIN