Provider Demographics
NPI:1184095390
Name:A NEW YOU CHIROPRACTIC HEALTHCARE PC
Entity type:Organization
Organization Name:A NEW YOU CHIROPRACTIC HEALTHCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:HEATH
Authorized Official - Last Name:SKORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-293-4563
Mailing Address - Street 1:1255 PATERSON PLANK RD
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-3247
Mailing Address - Country:US
Mailing Address - Phone:201-293-4563
Mailing Address - Fax:
Practice Address - Street 1:1255 PATERSON PLANK RD
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-3247
Practice Address - Country:US
Practice Address - Phone:201-293-4563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008188111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100043892OtherMEDICARE IDENTIFICATION NUMBER
NYA100043892Medicare PIN