Provider Demographics
NPI:1457050585
Name:MAIN CHIROPRACTIC REHABILITATION & NP-FAMILY HEALTH OF WESTCHESTER PL
Entity type:Organization
Organization Name:MAIN CHIROPRACTIC REHABILITATION & NP-FAMILY HEALTH OF WESTCHESTER PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZAHREH
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-C, DC
Authorized Official - Phone:914-654-1100
Mailing Address - Street 1:634 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-7084
Mailing Address - Country:US
Mailing Address - Phone:914-654-1100
Mailing Address - Fax:914-654-9715
Practice Address - Street 1:634 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-7084
Practice Address - Country:US
Practice Address - Phone:914-654-1100
Practice Address - Fax:914-654-9715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty