Organization
UNIQUE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA VAVIKOVA DC (OWNER)
(212) 791-3399
Entity
Organization
Contact information
Practice address
1 MAIDEN LN FL 4, NEW YORK, NY 10038-5130
(212) 791-3399
(212) 791-3388
Mailing address
1 MAIDEN LN FL 4, NEW YORK, NY 10038-5130
(212) 791-3399
(212) 791-3388
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
X009246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5807933
GHI
NY
01
—
C09246-2
WORKER COMPENSATION
NY
01
—
NY09246
LANDMARK & HEALTH NET
NY
Enumeration date
02/20/2009
Last updated
02/20/2009
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