Provider Demographics
NPI:1639572225
Name:HORENSTEIN, CHELSEA (LAC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:HORENSTEIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 5TH AVE # 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3304
Mailing Address - Country:US
Mailing Address - Phone:917-250-6420
Mailing Address - Fax:
Practice Address - Street 1:214 W 29TH ST RM 901
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5757
Practice Address - Country:US
Practice Address - Phone:917-250-6420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-27
Last Update Date:2014-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005434171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist