Provider Demographics
NPI:1265083745
Name:REPAIR RECOVER RESTORE CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:REPAIR RECOVER RESTORE CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-598-8137
Mailing Address - Street 1:95 CHURCH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-1518
Mailing Address - Country:US
Mailing Address - Phone:914-506-5777
Mailing Address - Fax:315-936-3647
Practice Address - Street 1:95 CHURCH ST STE 200
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-1518
Practice Address - Country:US
Practice Address - Phone:914-506-5777
Practice Address - Fax:914-328-8003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty