Provider Demographics
NPI:1992941306
Name:THE HERBAN ALCHEMIST
Entity type:Organization
Organization Name:THE HERBAN ALCHEMIST
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC LAC
Authorized Official - Phone:646-596-8215
Mailing Address - Street 1:135 GRAND ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:646-596-8215
Mailing Address - Fax:646-596-8215
Practice Address - Street 1:135 GRAND ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:646-596-8215
Practice Address - Fax:646-596-8215
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HERBAN ALCHEMIST
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-06
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009464-1111N00000X
NY003176-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty