Provider Demographics
NPI:1033175195
Name:SHEILAGH WEYMOUTH, D.C., P.C.
Entity Type:Organization
Organization Name:SHEILAGH WEYMOUTH, D.C., P.C.
Other - Org Name:WHOLELIFE HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILAGH
Authorized Official - Middle Name:
Authorized Official - Last Name:WEYMOUTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-533-3070
Mailing Address - Street 1:215 PARK AVE S
Mailing Address - Street 2:SUITE 1304
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1603
Mailing Address - Country:US
Mailing Address - Phone:212-533-3070
Mailing Address - Fax:212-533-3198
Practice Address - Street 1:215 PARK AVE S
Practice Address - Street 2:SUITE 1304
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-1603
Practice Address - Country:US
Practice Address - Phone:212-533-3070
Practice Address - Fax:212-533-3198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008366111NI0900X, 261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0900XChiropractic ProvidersChiropractorInternistGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX92701Medicare PIN