Provider Demographics
NPI:1154334126
Name:NATHANSON, RONALD HARRIS (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:HARRIS
Last Name:NATHANSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:99 WALL ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-4301
Mailing Address - Country:US
Mailing Address - Phone:212-952-9355
Mailing Address - Fax:212-952-1355
Practice Address - Street 1:124 E 40TH ST
Practice Address - Street 2:SUITE 304
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1723
Practice Address - Country:US
Practice Address - Phone:212-464-4325
Practice Address - Fax:212-758-2577
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9377-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor