Provider Demographics
NPI:1164543948
Name:ROTHFELD, ADRIA (DC)
Entity Type:Individual
Prefix:DR
First Name:ADRIA
Middle Name:
Last Name:ROTHFELD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1944 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3914
Mailing Address - Country:US
Mailing Address - Phone:718-370-7500
Mailing Address - Fax:718-370-0850
Practice Address - Street 1:281 ROUTE 34
Practice Address - Street 2:SUITE 104
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722
Practice Address - Country:US
Practice Address - Phone:732-308-3030
Practice Address - Fax:732-308-3081
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005405111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition