Provider Demographics
NPI:1396984084
Name:CHIROPRACTIC HEALING ARTS, P.C.
Entity type:Organization
Organization Name:CHIROPRACTIC HEALING ARTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DECHIARA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-445-4302
Mailing Address - Street 1:3 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-5635
Mailing Address - Country:US
Mailing Address - Phone:516-445-4302
Mailing Address - Fax:
Practice Address - Street 1:326 WALT WHITMAN RD STE 201
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-8700
Practice Address - Country:US
Practice Address - Phone:631-885-8085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2011-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009416111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty