Provider Demographics
NPI:1366755365
Name:RAISFELD, ARTHUR (DC)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:RAISFELD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 E 8TH ST
Mailing Address - Street 2:32D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6514
Mailing Address - Country:US
Mailing Address - Phone:917-882-8562
Mailing Address - Fax:
Practice Address - Street 1:1201 BROADWAY
Practice Address - Street 2:SUITE 1003
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5405
Practice Address - Country:US
Practice Address - Phone:646-863-7174
Practice Address - Fax:646-863-7179
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001852111N00000X
NJ38MC00684600111N00000X
NYX011894111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor