Provider Demographics
NPI:1306140736
Name:NEW YORK CHIROPRACTIC SERVICES, PLLC
Entity type:Organization
Organization Name:NEW YORK CHIROPRACTIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SADOVNIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-725-9866
Mailing Address - Street 1:1201 BROADWAY
Mailing Address - Street 2:SUITE 1003
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5405
Mailing Address - Country:US
Mailing Address - Phone:212-725-9866
Mailing Address - Fax:646-380-0164
Practice Address - Street 1:1201 BROADWAY
Practice Address - Street 2:SUITE 1003
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5405
Practice Address - Country:US
Practice Address - Phone:212-725-9866
Practice Address - Fax:646-380-0164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70 010883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty