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Organization
INTEGRATED CHIROPRACTIC AND PHYSICAL THERAPY ASSOCIATES PLLC
Active
Organization
INTEGRATED CHIROPRACTIC AND PHYSICAL THERAPY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY-ANN FLYNN (OFFICE MANAGER)
(212) 475-8104
Entity
Organization
Contact information
Practice address
10 E 21ST ST STE 1106, NEW YORK, NY 10010-7181
(212) 475-8104
(212) 475-4443
Mailing address
10 E 21ST ST STE 1106, NEW YORK, NY 10010-7181
(212) 475-8104
(212) 475-4443
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008846
NY
225100000X
Physical Therapist
440113063
NY
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083891741
CHIROPRACTOR
NY
01
—
1295204923
PHYSICAL THERAPY
NY
01
—
1730664897
PHYSICAL THERAPY
NY
01
—
1740788504
NURSE PRACTITIONER
NY
Enumeration date
05/16/2012
Last updated
06/12/2019
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