Provider Demographics
NPI:1326748849
Name:CITYWIDE OCCUPATIONAL THERAPY AND CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:CITYWIDE OCCUPATIONAL THERAPY AND CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARALAMPOS
Authorized Official - Middle Name:
Authorized Official - Last Name:BILITSIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-393-4673
Mailing Address - Street 1:42 BROADWAY STE 1535
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-3885
Mailing Address - Country:US
Mailing Address - Phone:212-393-4673
Mailing Address - Fax:212-480-2172
Practice Address - Street 1:42 BROADWAY STE 1535
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-3885
Practice Address - Country:US
Practice Address - Phone:212-393-4673
Practice Address - Fax:212-480-2172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty