Provider Demographics
NPI:1821758889
Name:DR. RAEANN M. ZSCHOKKE, DC, PLLC
Entity Type:Organization
Organization Name:DR. RAEANN M. ZSCHOKKE, DC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZSCHOKKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:646-526-7978
Mailing Address - Street 1:509 MADISON AVE RM 404
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5581
Mailing Address - Country:US
Mailing Address - Phone:646-526-7978
Mailing Address - Fax:
Practice Address - Street 1:18 E 41ST ST FL 14
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6244
Practice Address - Country:US
Practice Address - Phone:646-526-7978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty