| West Side Comprehensive Chiropractic Care Pc | |
|
330 West 58 Street, Suite 407, New York, NY 10019 | |
| (212) 765-6470 | |
| Not Available |
| Full Name | West Side Comprehensive Chiropractic Care Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 330 West 58 Street, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205040730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X006900-1 (New York) | Primary |
| Provider Name | Michael H Watins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396856142 PECOS PAC ID: 2163529538 Enrollment ID: I20070518000313 |
| Mailing Address | Practice Location Address |
|---|---|
| West Side Comprehensive Chiropractic Care Pc 330 West 58 Street, Suite 407, New York, NY 10019 Ph: () - | West Side Comprehensive Chiropractic Care Pc 330 West 58 Street, Suite 407, New York, NY 10019 Ph: (212) 765-6470 |
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