Provider Demographics
NPI:1780085886
Name:EVEREST CHIROPRACTIC, P.C
Entity type:Organization
Organization Name:EVEREST CHIROPRACTIC, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NADEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:917-406-9683
Mailing Address - Street 1:415 W 57TH ST
Mailing Address - Street 2:SUITE B/C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1752
Mailing Address - Country:US
Mailing Address - Phone:917-406-9683
Mailing Address - Fax:212-246-1088
Practice Address - Street 1:415 W 57TH ST
Practice Address - Street 2:SUITE B/C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1752
Practice Address - Country:US
Practice Address - Phone:917-406-9683
Practice Address - Fax:212-246-1088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty