Provider Demographics
NPI:1285926782
Name:CHIRO ONE WELLNESS P. C.
Entity type:Organization
Organization Name:CHIRO ONE WELLNESS P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:JAMIL
Authorized Official - Last Name:MUNASSAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:716-903-0008
Mailing Address - Street 1:4214 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-1606
Mailing Address - Country:US
Mailing Address - Phone:716-903-0008
Mailing Address - Fax:
Practice Address - Street 1:4214 CLINTON ST
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-4910
Practice Address - Country:US
Practice Address - Phone:716-903-0008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-03
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYXO119081111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty