Provider Demographics
NPI:1013087550
Name:DR ADAM STANGER DC PC
Entity Type:Organization
Organization Name:DR ADAM STANGER DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:STANGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-755-4343
Mailing Address - Street 1:230 E 48TH ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1509
Mailing Address - Country:US
Mailing Address - Phone:212-755-4343
Mailing Address - Fax:212-759-6665
Practice Address - Street 1:230 EAST 48RD STREET
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-755-4343
Practice Address - Fax:212-759-6665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0061121111N00000X
CT000860111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
603745OtherACN
P478647OtherOXFORD
0543941OtherAETNA
5801905OtherGHI
P478647OtherOXFORD
U39909Medicare UPIN