Provider Demographics
NPI:1225870736
Name:GRUEN CHIROPRACTIC PC
Entity type:Organization
Organization Name:GRUEN CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-664-1891
Mailing Address - Street 1:150 BROADWAY RM 1213
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4403
Mailing Address - Country:US
Mailing Address - Phone:646-664-1891
Mailing Address - Fax:
Practice Address - Street 1:150 BROADWAY RM 1213
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4403
Practice Address - Country:US
Practice Address - Phone:646-664-1891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty