Organization · NPI-2
42 Broadway Acupuncture And Chiropractic
Acupuncturist · New York, NY
NPI number1275315749
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1275315749
- Entity type
- Organization (NPI-2)
- Legal business name
- 42 Broadway Acupuncture And Chiropractic
- Organization subpart
- No
- Enumeration date
- Oct 18, 2023
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | – | – | Yes |
| 111N00000X | Chiropractor | – | – |
Practice location
42 Broadway Ste 1535New York, NY 10004-3885
Phone 718-496-5917
Mailing address
42 Broadway Ste 1535New York, NY 10004-3885
Phone 718-496-5917
Authorized official
Gerard Maggio
Partner
2123934673
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