Provider Demographics
NPI:1295877173
Name:JARMAIN, NANETTE MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:NANETTE
Middle Name:MARIE
Last Name:JARMAIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 W 28TH ST STE 533
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5500
Mailing Address - Country:US
Mailing Address - Phone:917-965-2247
Mailing Address - Fax:917-965-2247
Practice Address - Street 1:548 W 28TH ST STE 533
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5500
Practice Address - Country:US
Practice Address - Phone:917-965-2247
Practice Address - Fax:917-965-2247
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008309111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU63309Medicare UPIN
NYX7836XBBE1Medicare PIN