Provider Demographics
NPI:1407890957
Name:PRISCO, CHRISTIAN EMANUEL (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:EMANUEL
Last Name:PRISCO
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 1:25 CLAIR ST
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4443
Mailing Address - Country:US
Mailing Address - Phone:516-423-9699
Mailing Address - Fax:212-924-4077
Practice Address - Street 1:134 W 26TH ST
Practice Address - Street 2:SUITE 903
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6803
Practice Address - Country:US
Practice Address - Phone:212-924-8218
Practice Address - Fax:212-924-4077
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010826-2111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor