Provider Demographics
NPI:1003516402
Name:NOHO CHIROPRACTIC PC
Entity Type:Organization
Organization Name:NOHO CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOSHANY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-645-8151
Mailing Address - Street 1:636 BROADWAY RM 304
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-2623
Mailing Address - Country:US
Mailing Address - Phone:212-645-8151
Mailing Address - Fax:
Practice Address - Street 1:636 BROADWAY RM 304
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-2623
Practice Address - Country:US
Practice Address - Phone:212-645-8151
Practice Address - Fax:212-777-1653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty