Individual
DR. GEORGE TAISHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1103 FRANKLIN AVE APT 4, BRONX, NY 10456-6721
(718) 909-9070
Mailing address
173 JACQUES AVE, STATEN ISLAND, NY 10306-3029
(718) 909-9070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013638
NY
111NI0013X
Independent Medical Examiner Chiropractor
013638
NY
111NN1001X
Nutrition Chiropractor
013638
NY
111NR0400X
Rehabilitation Chiropractor
013638
NY
111NS0005X
Sports Physician Chiropractor
013638
NY
111NX0100X
Occupational Health Chiropractor
013638
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013638
NEW YORK STATE CHIROPRACTIC LICENSE
NY
Enumeration date
08/09/2022
Last updated
02/05/2026
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