Individual
CHARLES EDMUND SHOCKEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
16 E 48TH ST, 6TH FLOOR, NEW YORK, NY 10017-1017
(212) 206-6400
Mailing address
16 E 48TH ST, 6TH FLOOR, NEW YORK, NY 10017-1017
(212) 206-6400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011246-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128203
GHI
NY
01
—
P3708009
OXFORD
NY
Enumeration date
01/27/2007
Last updated
08/17/2018
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