Provider Demographics
NPI:1730465477
Name:SCARSDALE CHIROPRACTIC & ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:SCARSDALE CHIROPRACTIC & ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:
Authorized Official - Last Name:CARUOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-961-7575
Mailing Address - Street 1:83 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5104
Mailing Address - Country:US
Mailing Address - Phone:914-472-6688
Mailing Address - Fax:914-961-8489
Practice Address - Street 1:83 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5104
Practice Address - Country:US
Practice Address - Phone:914-472-6688
Practice Address - Fax:914-961-8489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003862-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty