Provider Demographics
NPI:1437836707
Name:CITYCHIRO
Entity Type:Organization
Organization Name:CITYCHIRO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PIROZHKOV
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-623-9509
Mailing Address - Street 1:255 WARREN ST APT 1809
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-3719
Mailing Address - Country:US
Mailing Address - Phone:719-623-9509
Mailing Address - Fax:551-842-1800
Practice Address - Street 1:60 CHRISTOPHER COLUMBUS DR
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-2945
Practice Address - Country:US
Practice Address - Phone:201-389-8043
Practice Address - Fax:551-842-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty