Provider Demographics
NPI:1699225953
Name:FINETOUCH CHIROPRACTIC WELL DIAGNOSTICS
Entity Type:Organization
Organization Name:FINETOUCH CHIROPRACTIC WELL DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:FEINTUCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-493-0948
Mailing Address - Street 1:636 NUTLEY PL
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3028
Mailing Address - Country:US
Mailing Address - Phone:516-493-0948
Mailing Address - Fax:516-595-8469
Practice Address - Street 1:636 NUTLEY PL
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3028
Practice Address - Country:US
Practice Address - Phone:516-493-0948
Practice Address - Fax:516-595-8469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004702111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100108384Medicare UPIN