Provider Demographics
NPI:1235901331
Name:49 WEST 24TH ST ACUPUNCTURE AND CHIROPRACTIC
Entity Type:Organization
Organization Name:49 WEST 24TH ST ACUPUNCTURE AND CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAROLLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-393-4673
Mailing Address - Street 1:49 W 24TH ST FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-3570
Mailing Address - Country:US
Mailing Address - Phone:212-393-4673
Mailing Address - Fax:
Practice Address - Street 1:49 W 24TH ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-3570
Practice Address - Country:US
Practice Address - Phone:212-393-4673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty