Provider Demographics
NPI:1942501465
Name:EMPIRE CHIROPRACTIC WELLNESS PC
Entity Type:Organization
Organization Name:EMPIRE CHIROPRACTIC WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMEISHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-643-0281
Mailing Address - Street 1:43 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2415
Mailing Address - Country:US
Mailing Address - Phone:718-643-0281
Mailing Address - Fax:718-643-0372
Practice Address - Street 1:43 CLARK ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2415
Practice Address - Country:US
Practice Address - Phone:718-643-0281
Practice Address - Fax:718-643-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty