Provider Demographics
NPI:1538683867
Name:MADISON SQUARE CHIROPRACTIC AND ACUPUNCTURE, PLLC
Entity Type:Organization
Organization Name:MADISON SQUARE CHIROPRACTIC AND ACUPUNCTURE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHURE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-696-9355
Mailing Address - Street 1:60 MADISON AVE STE 1012
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1654
Mailing Address - Country:US
Mailing Address - Phone:212-696-9355
Mailing Address - Fax:
Practice Address - Street 1:60 MADISON AVE STE 1012
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-1654
Practice Address - Country:US
Practice Address - Phone:212-696-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111NI0900XChiropractic ProvidersChiropractorInternistGroup - Multi-Specialty