Provider Demographics
NPI:1447377262
Name:CHALFIN, SETH (DC)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:CHALFIN
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 1:422 W END AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5707
Mailing Address - Country:US
Mailing Address - Phone:212-873-7016
Mailing Address - Fax:212-873-7149
Practice Address - Street 1:422 W END AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5707
Practice Address - Country:US
Practice Address - Phone:212-873-7016
Practice Address - Fax:212-873-7149
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006659111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP412952OtherOXFORD
NY5800404OtherGHI
NYP412952OtherOXFORD
NYX4765-1Medicare ID - Type Unspecified