Provider Demographics
NPI:1003329418
Name:WESTCHESTER CHIROPRACTIC HEALTHCARE, P.C.
Entity Type:Organization
Organization Name:WESTCHESTER CHIROPRACTIC HEALTHCARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CICCONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-664-1380
Mailing Address - Street 1:2 GRAMATAN AVENUE, SUITE 206
Mailing Address - Street 2:
Mailing Address - City:MT. VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-2002
Mailing Address - Country:US
Mailing Address - Phone:914-664-1380
Mailing Address - Fax:914-664-1383
Practice Address - Street 1:2 GRAMATAN AVENUE, SUITE 206
Practice Address - Street 2:
Practice Address - City:M. VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2002
Practice Address - Country:US
Practice Address - Phone:914-664-1380
Practice Address - Fax:914-664-1383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009423-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty