Provider Demographics
NPI:1841620879
Name:ROCKLAND CHIROPRACTIC WELLNESS SERVICES
Entity type:Organization
Organization Name:ROCKLAND CHIROPRACTIC WELLNESS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-507-0901
Mailing Address - Street 1:200 E ROUTE 59
Mailing Address - Street 2:SUITE 9
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2909
Mailing Address - Country:US
Mailing Address - Phone:845-507-0901
Mailing Address - Fax:
Practice Address - Street 1:200 E ROUTE 59
Practice Address - Street 2:SUITE 9
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2909
Practice Address - Country:US
Practice Address - Phone:845-507-0901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007392111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty