Provider Demographics
NPI:1801253281
Name:MCCLELLAND, CURTIS (DC)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:MCCLELLAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E 57TH ST STE 520
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2221
Mailing Address - Country:US
Mailing Address - Phone:212-755-5500
Mailing Address - Fax:212-755-0505
Practice Address - Street 1:115 E 57TH ST STE 520
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2221
Practice Address - Country:US
Practice Address - Phone:212-755-5500
Practice Address - Fax:212-755-0505
Is Sole Proprietor?:No
Enumeration Date:2016-01-15
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00733200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor