Provider Demographics
NPI:1396286845
Name:I KNOW MY CHIRO CHIROPRACTIC WELLNESS PLLC
Entity type:Organization
Organization Name:I KNOW MY CHIRO CHIROPRACTIC WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:CASANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-933-0188
Mailing Address - Street 1:352 7TH AVE RM 1002
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5657
Mailing Address - Country:US
Mailing Address - Phone:212-933-0188
Mailing Address - Fax:646-484-5593
Practice Address - Street 1:35 E 38TH ST APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2528
Practice Address - Country:US
Practice Address - Phone:212-933-0188
Practice Address - Fax:646-484-5593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0128491111N00000X, 111NN1001X, 111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty