Provider Demographics
NPI:1245459437
Name:NEW YORK WELLNESS COACH, INC.
Entity type:Organization
Organization Name:NEW YORK WELLNESS COACH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHWEIGERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:631-580-3200
Mailing Address - Street 1:9 GLATTER LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11720-1009
Mailing Address - Country:US
Mailing Address - Phone:631-580-3200
Mailing Address - Fax:631-580-2900
Practice Address - Street 1:224 MARK TREE RD
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-2278
Practice Address - Country:US
Practice Address - Phone:631-580-3200
Practice Address - Fax:631-580-2900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006051111N00000X, 111NN1001X, 111NR0400X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Not Answered111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Not Answered111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty