Provider Demographics
NPI:1659402337
Name:CHIROPACTIC & WELLNESS CARE, PLLC,
Entity Type:Organization
Organization Name:CHIROPACTIC & WELLNESS CARE, PLLC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SACCHETTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-747-9200
Mailing Address - Street 1:879 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:THORNWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:10594-1415
Mailing Address - Country:US
Mailing Address - Phone:914-747-9200
Mailing Address - Fax:914-747-4406
Practice Address - Street 1:879 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:THORNWOOD
Practice Address - State:NY
Practice Address - Zip Code:10594-1415
Practice Address - Country:US
Practice Address - Phone:914-747-9200
Practice Address - Fax:914-747-4406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004751-6111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP452303OtherOXFORD #
NYCO47516OtherDR. SACCHETTI'S WC #
NYT53221Medicare UPIN
NYX7B021Medicare ID - Type UnspecifiedDR. SACCHETTI'MEDICARE #