Provider Demographics
NPI:1093417495
Name:SOUTHERN WESTCHESTER CHIROPRACTIC SPINE INJURY OFFICE PLLC
Entity Type:Organization
Organization Name:SOUTHERN WESTCHESTER CHIROPRACTIC SPINE INJURY OFFICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNPAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYEGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-671-0001
Mailing Address - Street 1:160 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-3521
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:160 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ELMSFORD
Practice Address - State:NY
Practice Address - Zip Code:10523-3521
Practice Address - Country:US
Practice Address - Phone:914-671-0001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty