Provider Demographics
NPI:1598916009
Name:UNION SQUARE PHYSICAL THERAPY & CHIROPRCTIC
Entity Type:Organization
Organization Name:UNION SQUARE PHYSICAL THERAPY & CHIROPRCTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-614-8800
Mailing Address - Street 1:853 BROADWAY
Mailing Address - Street 2:SUITE 1105
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-614-8800
Mailing Address - Fax:212-614-8027
Practice Address - Street 1:853 BROADWAY
Practice Address - Street 2:SUITE 1105
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4703
Practice Address - Country:US
Practice Address - Phone:212-614-8800
Practice Address - Fax:212-614-8027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty