Provider Demographics
NPI:1003014655
Name:WILLIAM STREET CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:WILLIAM STREET CHIROPRACTIC, P.C.
Other - Org Name:WILLIAM STREET SPORTS & SPINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:FEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-509-3333
Mailing Address - Street 1:100 WILLIAM ST
Mailing Address - Street 2:SUITE 1215
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4512
Mailing Address - Country:US
Mailing Address - Phone:212-509-3333
Mailing Address - Fax:212-509-2600
Practice Address - Street 1:100 WILLIAM ST
Practice Address - Street 2:SUITE 1215
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4512
Practice Address - Country:US
Practice Address - Phone:212-509-3333
Practice Address - Fax:212-509-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010543111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty