Provider Demographics
NPI:1477259364
Name:REALIGN SPINE AND WELLNESS
Entity type:Organization
Organization Name:REALIGN SPINE AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRATIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-743-8565
Mailing Address - Street 1:306 WASHINGTON ST STE 205
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5162
Mailing Address - Country:US
Mailing Address - Phone:201-743-8565
Mailing Address - Fax:
Practice Address - Street 1:306 WASHINGTON ST STE 205
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5162
Practice Address - Country:US
Practice Address - Phone:201-743-8565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty