Provider Demographics
NPI:1417182320
Name:MIDTOWN TOTAL CHIROPRACTIC REHABILITATION, PLLC
Entity Type:Organization
Organization Name:MIDTOWN TOTAL CHIROPRACTIC REHABILITATION, PLLC
Other - Org Name:MIDTOWN TOTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NOAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SADOVNIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-688-2900
Mailing Address - Street 1:235 E 49TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1537
Mailing Address - Country:US
Mailing Address - Phone:212-688-2900
Mailing Address - Fax:212-759-8046
Practice Address - Street 1:235 E 49TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1537
Practice Address - Country:US
Practice Address - Phone:212-688-2900
Practice Address - Fax:212-759-8046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010883-1111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty