Provider Demographics
NPI:1730275033
Name:CHIROPRACTIC FOR PREVENTION PC
Entity type:Organization
Organization Name:CHIROPRACTIC FOR PREVENTION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:PANAYIOTA
Authorized Official - Last Name:KANES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:646-733-2201
Mailing Address - Street 1:350 5TH AVENUE
Mailing Address - Street 2:SUITE 1322
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10118
Mailing Address - Country:US
Mailing Address - Phone:646-733-2201
Mailing Address - Fax:646-733-2202
Practice Address - Street 1:350 5TH AVENUE
Practice Address - Street 2:SUITE 1322
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10118
Practice Address - Country:US
Practice Address - Phone:646-733-2201
Practice Address - Fax:646-733-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0080893111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty