Provider Demographics
NPI:1396376893
Name:MANHATTAN HOUSE CHIROPRACTIC PC
Entity Type:Organization
Organization Name:MANHATTAN HOUSE CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FAREEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-785-9620
Mailing Address - Street 1:232 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-9100
Mailing Address - Country:US
Mailing Address - Phone:212-785-9620
Mailing Address - Fax:212-935-7278
Practice Address - Street 1:232 E 66TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-9100
Practice Address - Country:US
Practice Address - Phone:212-785-9620
Practice Address - Fax:212-935-7278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty