Provider Demographics
NPI:1659078269
Name:ELAN MICHAEL CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:ELAN MICHAEL CHIROPRACTIC, P.C.
Other - Org Name:VALHALLA HEALTH & SPINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-343-3203
Mailing Address - Street 1:465 COLUMBUS AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1376
Mailing Address - Country:US
Mailing Address - Phone:516-343-3203
Mailing Address - Fax:
Practice Address - Street 1:465 COLUMBUS AVE STE 250
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1376
Practice Address - Country:US
Practice Address - Phone:516-343-3203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty