AGEONICS
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1396020145- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 109 E 36TH ST, NEW YORK, NY, 100163447
- Phone
- (212) 510-7020
- Fax
- (212) 510-7021
Specialties & Taxonomies
Chiropractor
License: NY #x010496-1
Family Medicine
Primary License: NY #220017-1