Organization
LIFESOURCE CHIROPRACTIC P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JOSEPH UNGARO DC (OWNER)
(212) 286-0888
Entity
Organization
Contact information
Practice address
535 5TH AVE, SUITE 920, NEW YORK, NY 10017-3620
(212) 286-0888
(212) 286-9726
Mailing address
535 5TH AVE, SUITE 920, NEW YORK, NY 10017-3620
(917) 861-2472
(866) 291-8321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009921
NY
Other
Enumeration date
12/04/2007
Last updated
01/06/2016
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