Provider Demographics
NPI:1467867705
Name:NOHO CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:NOHO CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOSHANY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-645-1495
Mailing Address - Street 1:632 BROADWAY
Mailing Address - Street 2:STE. 303
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-2614
Mailing Address - Country:US
Mailing Address - Phone:212-645-1495
Mailing Address - Fax:212-777-1653
Practice Address - Street 1:632 BROADWAY
Practice Address - Street 2:STE. 303
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-2614
Practice Address - Country:US
Practice Address - Phone:212-645-1495
Practice Address - Fax:212-777-1653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX-008479-1111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty