Provider Demographics
NPI:1235539347
Name:PRITT, DONALD (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:PRITT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 W 30TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2823
Mailing Address - Country:US
Mailing Address - Phone:212-691-7690
Mailing Address - Fax:480-813-1868
Practice Address - Street 1:241 W 30TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2823
Practice Address - Country:US
Practice Address - Phone:212-691-7690
Practice Address - Fax:480-813-1868
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012472111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor