Provider Demographics
NPI:1225205909
Name:O'DONOHUE CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:O'DONOHUE CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:O'DONOHUE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-239-4544
Mailing Address - Street 1:225 W 35TH ST
Mailing Address - Street 2:2ND FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-1904
Mailing Address - Country:US
Mailing Address - Phone:212-239-4544
Mailing Address - Fax:212-290-2991
Practice Address - Street 1:225 W 35TH ST
Practice Address - Street 2:2ND FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-1904
Practice Address - Country:US
Practice Address - Phone:212-239-4544
Practice Address - Fax:212-290-2991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010296111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty